| William T. Petrey, Dmd | |
|
2725 Us Hwy 25 North E. Bernstadt KY 40729 | |
| (606) 843-6476 | |
| (606) 843-6176 |
| Full Name | William T. Petrey, Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2725 Us Hwy 25 North, E. Bernstadt, Kentucky |
| Authorized Official Name and Position | William Todd Petrey (DENITIST/OWNER) |
| Authorized Official Contact | 6068436476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William T. Petrey, Dmd 2725 Us Hwy 25 North E. Bernstadt KY 40729 Ph: (606) 843-6476 | William T. Petrey, Dmd 2725 Us Hwy 25 North E. Bernstadt KY 40729 Ph: (606) 843-6476 |
| NPI Number | 1689812208 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 06/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689812208 | NPI | - | NPPES |
| 7100074220 | Medicaid | KY | |
| 7100088910 | Medicaid | KY | |
| 60072360 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7236 (Kentucky) | Primary |