Individual
DR. ROBERT A. PETCASH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2879 W HARDIES RD, GIBSONIA, PA 15044-8290
(724) 444-7770
(724) 444-7676
Mailing address
2879 W HARDIES RD, GIBSONIA, PA 15044-8290
(724) 444-7770
(724) 444-7676
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-027733-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027733
CIGNA
PA
05
—
16059170003
—
PA
01
—
2118131
AETNA US HEALTHCARE
PA
01
—
93946
HEALTH AMERICA
PA
Enumeration date
04/12/2006
Last updated
07/08/2007
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