Bernard W Petkovich in Mountain Home - Dentist
Bernard W Petkovich - NPI 1336253582
Bernard W Petkovich is a Dentist in Mountain Home, Arkansas. Bernard W Petkovich practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bernard W Petkovich is 1336253582. The last update date is 2013-05-16.
Bernard W Petkovich's current location address is 500 Hospital Dr, Mountain Home, Arkansas. You can contact this provider via phone number 8704259757 and fax number 8704249056. The mailing address for Bernard W Petkovich is 500 Hospital Dr, Mountain Home, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernard W Petkovich |
|---|---|
| Address | 500 Hospital Dr, Mountain Home, Arkansas |
| Phone Number | 8704259757 |
| Fax Number | 8704249056 |
| Sole Proprietor | N |
| Credentials | DDS PA |
NPI Number Detail
| NPI Number | 1336253582 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2013-05-16 |
Provider Mailing Address Detail
| Address | 500 Hospital Dr |
|---|---|
| City | Mountain Home |
| State | Arkansas (AR) |
| Post Code | 726532913 |
| Phone Number | 8704259757 |
| Fax Number | 8704249056 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2371 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Bernard W Petkovich's 1336253582?
The Bernard W Petkovich's NPI (National Provider Identifier) Number is 1336253582. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bernard W Petkovich?
The Bernard W Petkovich is situated at 500 Hospital Dr, in the city of Mountain Home, state of AR, with the zip code 726532913.
What is Bernard W Petkovich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bernard W Petkovich is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336253582 to Bernard W Petkovich?
The Centers for Medicare & Medicaid Services originally issued the 1336253582 to Bernard W Petkovich on 2006-08-17.
When was the information regarding Bernard W Petkovich most recently updated?
The details pertaining to the Bernard W Petkovich, including its address, specialty, and other relevant information, were last refreshed on 2013-05-16.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY