Organization
JOSEPH S.PETREY PLLC
Active
Other names
Petrey and Newcomb Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH STANLEY PETREY DMD (MEMBER /MANAGER)
(606) 451-0771
Entity
Organization
Contact information
Practice address
224 LANGDON ST, SOMERSET, KY 42501-2342
(606) 451-0771
(606) 451-0780
Mailing address
224 LANGDON ST, SOMERSET, KY 42501-2342
(606) 451-0771
(606) 451-0780
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8298
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588838924
—
KY
05
—
60039286
—
KY
05
—
7100125620
—
KY
Enumeration date
09/07/2011
Last updated
02/23/2012
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