Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK G PETRY, DDS
ActiveMARK G PETRY, DDS is a General Dentistry healthcare provider located in WELSH, Louisiana. NPI 1902868649 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WELSH, LA
Registration Details
- NPI Number
- 1902868649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2006 (20.360930901777 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LA4578 (LA)
Practice Information
- Address
-
219 S ADAMS STREETWELSH, LA, 70591Browse LA providers · Browse ZIP 70591
- Phone
- 3377344575
- Fax
- 3377344577
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.