Mr William Todd Petrey, DMD is a
Dentist - General Practice based in East Bernstadt, Kentucky. Mr William Todd Petrey is licensed to practice in Kentucky (license number 7236) and his current practice location is
2725 Us Hwy 25 N, East Bernstadt, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 843-6476.
NPI number for Mr William Todd Petrey is 1144323221 and his current mailing address is Po Box 5131, London, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144323221.
Healthcare Provider's Profile
| Full Name | Mr William Todd Petrey |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 2725 Us Hwy 25 N, East Bernstadt, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144323221
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 02/06/2012
Medical Identifiers
Medical identifiers for Mr William Todd Petrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144323221 | NPI | - | NPPES |
| 45001393 | Other | KY | EPSDT |
| 60072360 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 7236 (Kentucky) | Primary |
| 122300000X | Dentist | 7236 (Kentucky) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr William Todd Petrey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr William Todd Petrey, DMD
Po Box 5131,
London, KY 40745-5131
Ph: (606) 843-6476 | Mr William Todd Petrey, DMD
2725 Us Hwy 25 N,
East Bernstadt, KY 40729
Ph: (606) 843-6476 |
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