Individual
DR. KAREN Y PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
310 W. MILLBROOK ROAD, SUITE 100, RALEIGH, NC 27609-4675
(919) 875-1630
(919) 875-1629
Mailing address
310 W. MILLBROOK ROAD, SUITE 100, RALEIGH, NC 27609-4675
(919) 875-1630
(919) 875-1629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
568566
UNITED
NC
01
—
9016E
BCBS
NC
Enumeration date
11/01/2006
Last updated
10/25/2013
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