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Contact Information

WILLIAM T. PETREY, DMD
2725 US HWY 25 NORTH
EAST BERNSTADT, KY40729
 Phone: 606-843-6476
 Fax: 606-843-6176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for WILLIAM T. PETREY, DMD

NPI Number 1689812208
LBN Legal business name WILLIAM T. PETREY, DMD
Authorized official WILLIAM PETREY - (DENITIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2009
Last updated 06/29/2011 - About 15 years ago
Identifiers
KY License # 7236
KY Medicaid 60072360
KY Medicaid 7100074220
KY Medicaid 7100088910
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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