Mark G Petry, DDS is a
Dentist - General Practice based in Welsh, Louisiana. Mark G Petry is licensed to practice in Louisiana (license number LA4578) and his current practice location is
219 S Adams Street, Welsh, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(337) 734-4575.
NPI number for Mark G Petry is 1902868649 and his current mailing address is 219 S Adams Street, Welsh, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902868649.
Healthcare Provider's Profile
| Full Name | Mark G Petry |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 219 S Adams Street, Welsh, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902868649
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark G Petry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902868649 | NPI | - | NPPES |
| 1845787 | Medicaid | LA | |
| 588176 | Other | | UNITED CONCORDIA |
| G7199 | Other | LA | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | LA4578 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark G Petry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mark G Petry, DDS 219 S Adams Street, Welsh, LA 70591 Ph: (337) 734-4575 | Mark G Petry, DDS 219 S Adams Street, Welsh, LA 70591 Ph: (337) 734-4575 |
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