William D. Petty in Oak Lawn - Orthodontics And Dentofacial Orthopedics
William D. Petty - NPI 1861558744
William D. Petty is a Orthodontics And Dentofacial Orthopedics in Oak Lawn, Illinois. William D. Petty practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for William D. Petty is 1861558744. The last update date is 2007-07-08.
William D. Petty's current location address is 4233 W 95th St, Oak Lawn, Illinois. You can contact this provider via phone number 7086362900 and fax number 7086363337. The mailing address for William D. Petty is 4233 W 95th St, Oak Lawn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William D. Petty |
|---|---|
| Address | 4233 W 95th St, Oak Lawn, Illinois |
| Phone Number | 7086362900 |
| Fax Number | 7086363337 |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1861558744 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4233 W 95th St |
|---|---|
| City | Oak Lawn |
| State | Illinois (IL) |
| Post Code | 604532623 |
| Phone Number | 7086362900 |
| Fax Number | 7086363337 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 019-A14386 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to William D. Petty by the Centers for Medicare & Medicaid Services?
The William D. Petty has been issued the NPI (National Provider Identifier) 1861558744 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the William D. Petty's physical address?
The William D. Petty is physically located at 4233 W 95Th St, in the city of Oak Lawn, IL, with the postal code 604532623.
What is the William D. Petty's area of specialization and corresponding taxonomy classification?
The William D. Petty's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the William D. Petty receive the assignment of its 1861558744 from the Centers for Medicare & Medicaid Services?
The William D. Petty was issued its 1861558744 by the Centers for Medicare & Medicaid Services on 2006-12-28.
When was the information pertaining to William D. Petty most recently updated or revised?
The details related to William D. Petty, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.