# WILLIAM T. PETREY, DMD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689812208
- **Authorized official:** DR. WILLIAM TODD PETREY DMD (DENITIST/OWNER)
- **Authorized official phone:** (606) 843-6476

## Contact information

- **Practice address:** 2725 US HWY 25 NORTH, E. BERNSTADT, KY 40729
- **Practice address phone:** (606) 843-6476
- **Practice address fax:** (606) 843-6176
- **Mailing address:** 2725 US HWY 25 NORTH, E. BERNSTADT, KY 40729
- **Mailing address phone:** (606) 843-6476
- **Mailing address fax:** (606) 843-6176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7236 | KY | Yes |

## Other

- **Enumeration date:** 02/04/2009
- **Last updated:** 06/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60072360 | — | KY |
| 05 | — | 7100074220 | — | KY |
| 05 | — | 7100088910 | — | KY |