DR. BRUCE RAY PETT (NPI# 1306000435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306000435 |
| Entity Type | Individual |
| Full Name | DR. BRUCE RAY PETT |
| Credential | DDS |
| Practice Address |
113 Spring St Cambridge WI 53523 |
| Mailing Address |
Po Box 35 Cambridge WI 53523 |
| Practice Telephone | 6084233012 |
| Practice Fax Number | 6084239685 |
| Mailing Telephone | 6084233012 |
| Mailing Fax Number | 6084239685 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1277G | WI | Dental Providers |
| Street Address |
113 SPRING ST |
| City | CAMBRIDGE |
| State | WI |
| Zip Code | 53523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242440 | Lisa C Sperle | Registered Nurse | 228 A Main Street, Cambridge, WI 53523 | 2020-03-31 |
| 1144503715 | Jaime Lyn Klebig | Dentist | N4220 Woodcrest Ln., Cambridge, WI 53523 | 2011-09-21 |
| 1548556293 | Colleen A. Mitchell | Psychologist | 704 Katie Court, Cambridge, WI 53523 | 2011-06-21 |
| 1871745026 | Kathleen T. Mcginnity | Behavioral Analyst | 310 E. North St., Cambridge, WI 53523 | 2008-10-21 |
| 1902851454 | Cambridge Area Ems | Ambulance | 205 W Main, Cambridge, WI 53523 | 2006-05-23 |
| 1114984580 | Diane E Campton | Registered Nurse | 1608 Hillside Road, Cambridge, WI 53523 | 2006-04-28 |
| 1639620040 | Nicholas Stephen Lapidakis-schrader | Specialist/Technologist | 209 East Main Street, Cambridge, WI 53523 | 2016-10-20 |
| 1104012285 | Katherine Anne Miles | Social Worker | 120 East Main St, Cambridge, WI 53523 | 2007-09-21 |
| 1780733071 | Clara Josephine Acker Bonney | Licensed Practical Nurse | 1608 Hillside Road, Cambridge, WI 53523 | 2007-01-09 |
| 1801966734 | Kevin O Browne | Social Worker | 120 East Main Street, Cambridge, WI 53523 | 2006-11-08 |
| Find all providers in zip 53523 | ||||
| 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 |
|---|---|---|---|---|
| 1558968784 | Francina Alvarez Noboa | Dentist | 700 Huron Ave Apt 15m, Cambridge, MA 02138-4590 | 2020-10-01 |
| 1487207239 | George Duncan Georgiev | Dentist | 12 Holbrook Crescent, Cambridge, ONTARIO N1T 1V7 | 2019-07-22 |
| 1609435833 | Jeffrey E. Greenberg, Dmd, P.C. | Dentist | 763 Massachusetts Ave Ste 1, Cambridge, MA 02139-3329 | 2019-06-11 |
| 1720646987 | Lindsey White | Dentist | 40890 W. Hwy 6 & 34, Cambridge, NE 69022 | 2019-06-03 |
| 1619533304 | Sarah Lamecker | Dentist | 110 Opportunity Blvd S Ste A, Cambridge, MN 55008-2222 | 2019-05-17 |
| 1700342268 | Avalon Dental LLC | Dentist | 160 Cambridge St Unit H, Cambridge, MA 02141-1819 | 2019-02-20 |
| 1740637941 | Lissa Cisneros | Dentist | 135 Opportunity Blvd S, Cambridge, MN 55008-1238 | 2016-05-17 |
| 1114292000 | Two Rivers Family & Cosmetic Dentistry | Dentist | 90 S Superior, Cambridge, ID 83610 | 2012-03-12 |
| 1144503715 | Jaime Lyn Klebig | Dentist | N4220 Woodcrest Ln., Cambridge, WI 53523 | 2011-09-21 |
| 1366771792 | Archana Srinivasan | Dentist | 1 Court Ln, Unit 502, Cambridge, MD 21613-1883 | 2009-12-14 |
| Find all providers in CAMBRIDGE | ||||
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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.