Christopher M Petrunic in Montgomery - Orthodontics And Dentofacial Orthopedics
Christopher M Petrunic - NPI 1376602318
Christopher M Petrunic is a Orthodontics And Dentofacial Orthopedics in Montgomery, Alabama. Christopher M Petrunic practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Christopher M Petrunic is 1376602318. The last update date is 2007-07-08.
Christopher M Petrunic's current location address is 4164 Carmichael Rd, Montgomery, Alabama. You can contact this provider via phone number 3342772980 and fax number 3342772987. The mailing address for Christopher M Petrunic is 4164 Carmichael Rd, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher M Petrunic |
|---|---|
| Address | 4164 Carmichael Rd, Montgomery, Alabama |
| Phone Number | 3342772980 |
| Fax Number | 3342772987 |
| Sole Proprietor | N |
| Credentials | DMD., MS |
NPI Number Detail
| NPI Number | 1376602318 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4164 Carmichael Rd |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361063600 |
| Phone Number | 3342772980 |
| Fax Number | 3342772987 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 5152 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5152 | AL | BOARD OF DENTAL EXAMINERS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Christopher M Petrunic?
The Christopher M Petrunic has been issued the NPI (National Provider Identifier) 1376602318 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 location address where Christopher M Petrunic's facilities are situated?
The facilities of Christopher M Petrunic are physically located at the following address: 4164 Carmichael Rd, Montgomery, AL, 361063600.
What is Christopher M Petrunic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Christopher M Petrunic's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Christopher M Petrunic receive its 1376602318 assignment from the Centers for Medicare & Medicaid Services?
The Christopher M Petrunic was assigned its 1376602318 by the Centers for Medicare & Medicaid Services on 2006-12-06.
As of what date were the details pertaining to Christopher M Petrunic last refreshed?
The information related to the Christopher M Petrunic, including its address, specialty, and other relevant details, was last updated on 2007-07-08.