William J Petitto in Russellton - General Practice
William J Petitto - NPI 1104999127
William J Petitto is a General Practice in Russellton, Pennsylvania. William J Petitto practices all healthcare services and medical treatments related to General Practice. The NPI Number for William J Petitto is 1104999127. The last update date is 2007-07-08.
William J Petitto's current location address is 719 Main Street, Russellton, Pennsylvania. You can contact this provider via phone number 7242651808 and fax number 7242651808. The mailing address for William J Petitto is 719 Main Street, Russellton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William J Petitto |
|---|---|
| Address | 719 Main Street, Russellton, Pennsylvania |
| Phone Number | 7242651808 |
| Fax Number | 7242651808 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104999127 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 719 Main Street |
|---|---|
| City | Russellton |
| State | Pennsylvania (PA) |
| Post Code | 15076 |
| Phone Number | 7242651808 |
| Fax Number | 7242651808 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS01384OL |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to William J Petitto?
The William J Petitto has been issued the NPI (National Provider Identifier) 1104999127 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where William J Petitto is geographically located?
The William J Petitto is physically situated at the following location: 719 Main Street, Russellton, PA, 15076.
What is the William J Petitto's specialty and taxonomy code?
The William J Petitto's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the William J Petitto receive its 1104999127 assignment from the Centers for Medicare & Medicaid Services?
The William J Petitto was assigned its 1104999127 by the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date was the information pertaining to William J Petitto, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to William J Petitto, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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