DR. ANTON PETRICH (NPI# 1255316550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255316550 |
| Entity Type | Individual |
| Full Name | DR. ANTON PETRICH |
| Credential | D.D.S, M.S. |
| Practice Address |
8955 Wood Road Building 1, Rm 3521 Bethesda MD 20889 |
| Mailing Address |
8955 Wood Road Bldg 1, Rm 3521 Bethesda MD 20889-5628 |
| Practice Telephone | 3012951550 |
| Mailing Telephone | 3012951550 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2018-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
020941 | OH | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11th Den Co, 3rd Den Bn Unit 38454, Fpo, AP 96604-8454 | 637-2828 |
| Street Address |
8955 WOOD ROAD BUILDING 1, RM 3521 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584432 | Justin Charles Gunn | Student in an Organized Health Care Education/Training Program | 8955 Wood Road, Building 1, 19th Floor, Room 19121, Bethesda, MD 20889-5628 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538318043 | Vincent J Prestipino | Dentist | 7830 Old Georgetown Rd Ste 260, Bethesda, MD 20814-2466 | 2008-09-09 |
| 1609066802 | Washington Center for Image Dentistry | Dentist | 7830 Old Georgetown Road, Suite 260, Bethesda, MD 20814 | 2007-07-25 |
| 1255301578 | Gregory Alan Waskewicz | Dentist | National Naval Medical Center 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-01-26 |
| 1932100252 | Daniel Otis Ellert | Dentist | 8901 Wisonsin Ave., Bethesda, MD 20889-0001 | 2005-08-09 |
| 1588910996 | John A Chamberlain IIi | Dentist | Naval Postgraduate Dental School, 8901 Wisconson Ave, Bethesda, MD 20889-5600 | 2012-08-03 |
| 1528334232 | Ngoc Quang Chu | Dentist | 6306 Democracy Blvd, Bethesda, MD 20817-1664 | 2012-03-27 |
| 1821373101 | David James Rusthoven | Dentist | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2011-10-18 |
| 1083927362 | Laleh Abdolazadeh | Dentist | 8901 Rockville Pike, Bethesda, MD 20889-5600 | 2010-07-15 |
| 1982872644 | Bethesda Tmj Facial Pain Treatment LLC | Dentist | 10215 Fernwood Rd, #601, Bethesda, MD 20817 | 2008-02-15 |
| 1497800452 | Sarit Kaplan | Dentist | 10215 Fernwood Road, #601, Bethesda, MD 20817 | 2007-01-23 |
| Find all providers in BETHESDA | ||||
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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.