MARK G PETRY (NPI# 1902868649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902868649 |
| Entity Type | Individual |
| Full Name | MARK G PETRY |
| Credential | DDS |
| Practice Address |
219 S Adams Street Welsh LA 70591 |
| Practice Telephone | 3377344575 |
| Practice Fax Number | 3377344577 |
| Mailing Telephone | 3377344575 |
| Mailing Fax Number | 3377344577 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
LA4578 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1845787 | 05 | |
| LA | BLUE CROSS | G7199 | 01 |
| UNITED CONCORDIA | 588176 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992810568 | Mark Petry | Social Worker | 2806 Scarlett Dr, Augusta, GA 30909-2630 | 2006-08-21 |
| 1487668034 | Mark H Petry | Family Medicine | 204 Lundorff Dr, Sandstone, MN 55072-5051 | 2006-07-28 |
| Street Address |
219 S ADAMS STREET |
| City | WELSH |
| State | LA |
| Zip Code | 70591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689231771 | Jaquetta Celestine | Licensed Vocational Nurse | 209 W Rowson St, Welsh, LA 70591-3551 | 2019-05-23 |
| 1861424293 | Young Hee Kang | Family Medicine | 107 S Elms St, Welsh, LA 70591-4211 | 2006-07-07 |
| 1508071077 | Ralph Gerald Osborn | Pharmacist | 110 W South St, Welsh, LA 70591-4246 | 2007-05-10 |
| 1356377097 | Welsh Family Practice Clinic | Nurse Practitioner | 308 Palmer St, Welsh, LA 70591-4320 | 2006-06-24 |
| 1053711887 | Transafrican Development, Inc. | Clinic/Center | 308 Palmer St, Welsh, LA 70591-4320 | 2014-08-28 |
| 1033432430 | Harold Wayne Bertrand | Nurse Practitioner | 308 Palmer St, Welsh, LA 70591-4320 | 2010-03-12 |
| 1881692218 | Yvonne H. Krielow | Nurse Practitioner | 708 E Russell Ave, Welsh, LA 70591-4844 | 2005-07-11 |
| 1235305962 | The Clinic of Welsh | Nurse Practitioner | 708 E Russell Ave, Welsh, LA 70591-4844 | 2008-05-02 |
| 1811434889 | Church Point Drug Inc | Pharmacy | 514 E Russell Ave, Welsh, LA 70591-4848 | 2017-01-27 |
| 1700903069 | Simon Drugs, Inc. | Public Health or Welfare | 514 E Russell, Welsh, LA 70591-4848 | 2007-03-23 |
| Find all providers in zip 70591 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1508465899 | Exceptional Dental of Highland, LLC | Dentist | 7278 Highland Rd Ste C, Baton Rouge, LA 70808-6604 | 2020-10-19 |
| 1144828203 | Nia Beasley | Dentist | 1312 Octavia St, New Orleans, LA 70115-4225 | 2020-10-12 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1730797341 | Tyler Stephen Hawthorne | Dentist | 205 N Hood St, Lake Providence, LA 71254-2103 | 2020-07-20 |
| 1174149363 | Nataliya Pavlovna Jumonville | Dentist | 1708 Mlk Jr Blvd Ste 101, Houma, LA 70360-2408 | 2020-06-23 |
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1629693064 | Vial Joseph Leblanc IIi | Dentist | 1007 W Thomas St Ste E, Hammond, LA 70401-3062 | 2020-06-11 |
| 1174148779 | Audubon Urgent Dental | Dentist | 7181 U.S. Hwy 61, Suite 10, Saint Francisville, LA 70775 | 2020-06-10 |
| 1093330631 | Seaira-myangel Emily Miles | Dentist | 3569 W Louisiana State Dr, Kenner, LA 70065-2451 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.