William T. Petrey, Dmd | |
2725 Us Hwy 25 North E. Bernstadt KY 40729 | |
(606) 843-6476 | |
(606) 843-6176 |
Full Name | William T. Petrey, Dmd |
---|---|
Speciality | Dentist - General Practice |
Location | 2725 Us Hwy 25 North, E. Bernstadt, Kentucky |
Authorized Official Name and Position | William Todd Petrey (DENITIST/OWNER) |
Authorized Official Contact | 6068436476 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
William T. Petrey, Dmd 2725 Us Hwy 25 North E. Bernstadt KY 40729 Ph: (606) 843-6476 | William T. Petrey, Dmd 2725 Us Hwy 25 North E. Bernstadt KY 40729 Ph: (606) 843-6476 |
NPI Number | 1689812208 |
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Provider Enumeration Date | 02/04/2009 |
Last Update Date | 06/29/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689812208 | NPI | - | NPPES |
7100074220 | Medicaid | KY | |
7100088910 | Medicaid | KY | |
60072360 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7236 (Kentucky) | Primary |