Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Edward Stephen Radivonyk Jr., DMD

Individual provider General Practice Dentistry · NPI 1336205699

Mr. Edward Stephen Radivonyk Jr., DMD practises General Practice Dentistry in Fitchburg, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

637 Main St
Fitchburg, MA 01420-3107 Not confirmed with CMS for 19 years — call before visiting
Phone: (978) 342-2222
Fax: (978) 342-1292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN16221 (MA)

Record details

NPI number1336205699
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 29, 2006
Last updated in NPPESJuly 8, 2007

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