| J. Jerome Petro Dmd Inc | |
|
909 Menoher Blvd Johnstown PA 15905-2834 | |
| (814) 536-8793 | |
| Not Available |
| Full Name | J. Jerome Petro Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 909 Menoher Blvd, Johnstown, Pennsylvania |
| Authorized Official Name and Position | J. Jerome Petro (PRESIDENT) |
| Authorized Official Contact | 8145368793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Jerome Petro Dmd Inc 909 Menoher Blvd Johnstown PA 15905-2834 Ph: (814) 536-8793 | J. Jerome Petro Dmd Inc 909 Menoher Blvd Johnstown PA 15905-2834 Ph: (814) 536-8793 |
| NPI Number | 1174658645 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174658645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS-019044L (Pennsylvania) | Primary |
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