DR. STEPHEN F PETRAS (NPI# 1710052246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710052246 |
Entity Type | Individual |
Full Name | DR. STEPHEN F PETRAS |
Credential | DMD |
Practice Address |
120 W Front Ave Stockton IL 61085-1318 |
Mailing Address |
120 W Front Ave Po Box 146 Stockton IL 61085-1318 |
Practice Telephone | 8159473700 |
Practice Fax Number | 8159479058 |
Mailing Telephone | 8159473700 |
Mailing Fax Number | 8159479058 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
Street Address |
120 W FRONT AVE |
City | STOCKTON |
State | IL |
Zip Code | 61085-1318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033603790 | Caitlin M Pullara | Dentist | 120 W Front Ave, Stockton, IL 61085 | 2018-06-17 |
1093880536 | Stockton Dental Center, Inc. | Dentist | 120 W Front Ave, Stockton, IL 61085-1318 | 2006-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316330152 | Waverly Place of Stockton, LLC | Skilled Nursing Facility | 501 E Front Avenue, Stockton, IL 61085 | 2015-03-17 |
1598935504 | Carroll & Jo Davies & Stephenson Roe | Case Manager/Care Coordinator | 500 N Rush St, Stockton, IL 61085-1004 | 2008-03-05 |
1215105291 | Stockton Cusd 206 | Local Education Agency (LEA) | 500 N Rush St # M, Suite A, Stockton, IL 61085-1004 | 2008-02-13 |
1356587364 | Tracy L. Boyer | Occupational Therapist | 517 W Hilltop Ter, Stockton, IL 61085-1025 | 2008-12-22 |
1700059805 | Kreider Services, Inc | Intermediate Care Facility, Mentally Retarded | 605 N Main St, Stockton, IL 61085-1121 | 2008-04-09 |
1629257332 | Joseph Stephan Cahill | Chiropractor | 307 N Hudson St, Stockton, IL 61085-1219 | 2007-10-30 |
1255955449 | Andrew John Gibbs | Pharmacist | 117 N Main St, Stockton, IL 61085-1321 | 2020-06-03 |
1730223173 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 109 N Main St, Stockton, IL 61085-1321 | 2007-02-19 |
1154428720 | Hartig Drug Co Corp | Pharmacy | 117 N Main St, Stockton, IL 61085-1321 | 2006-09-17 |
1457880254 | Jacqueline Cahill | Chiropractor | 101 S Main St, Stockton, IL 61085-1323 | 2017-06-06 |
Find all providers in zip 61085 |
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 |
---|---|---|---|---|
1851901557 | Marcel Evan Acob | Dentist | 3453 Brookside Rd Ste A, Stockton, CA 95219-1788 | 2020-08-06 |
1124687314 | Jonathan Gordon Low | Dentist | 3031 W March Ln Ste 340, Stockton, CA 95219-6562 | 2019-06-11 |
1649746066 | Rommel K Bal Dds A Dental Corporation | Dentist | 1545 Saint Marks Plz Ste 1, Stockton, CA 95207-6411 | 2018-10-23 |
1487130191 | Rassiwala Dental Corporation | Dentist | 2043 E Fremont St Ste 8, Stockton, CA 95205 | 2018-07-16 |
1689079501 | Steven Mikkio Otani | Dentist | 618 Lincoln Ctr, Stockton, CA 95207-2639 | 2014-11-04 |
1104245398 | Bradley C. Louie, Dds, Inc. | Dentist | 4255 Pacific Ave Ste 1, Stockton, CA 95207-7638 | 2014-04-15 |
1497196737 | Nidhi Gupta | Dentist | 7860 West Ln, Stockton, CA 95210-3317 | 2013-07-16 |
1992064364 | Quan Vo Anh Nguyen Dds Inc | Dentist | 702 Porter Ave Ste F, Stockton, CA 95207-4297 | 2012-05-04 |
1649544404 | Cherie Diana Fiscus | Dentist | 4565 Quail Lakes Dr, Suite A2, Stockton, CA 95207-5294 | 2012-02-26 |
1760763767 | Leng C Haong Dds Inc | Dentist | 6323 Pacific Ave, Stockton, CA 95207 | 2011-09-02 |
Find all providers in STOCKTON |
Please comment or provide details below to improve the information on DR. STEPHEN F PETRAS.
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.