Organization
WILLIAM T. PETREY, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TODD PETREY DMD (DENITIST/OWNER)
(606) 843-6476
Entity
Organization
Contact information
Practice address
2725 US HWY 25 NORTH, E. BERNSTADT, KY 40729
(606) 843-6476
(606) 843-6176
Mailing address
2725 US HWY 25 NORTH, E. BERNSTADT, KY 40729
(606) 843-6476
(606) 843-6176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7236
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60072360
—
KY
05
—
7100074220
—
KY
05
—
7100088910
—
KY
Enumeration date
02/04/2009
Last updated
06/29/2011
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