DR. STEPHEN F PETRAS


Address: 120 W Front Ave, Stockton, IL 61085-1318
Phone: 8159473700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
IL Dental Providers

Office Location

Street Address 120 W FRONT AVE
City STOCKTON
State IL
Zip Code 61085-1318

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City STOCKTON
Zip Code 61085

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Dataset Information

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.

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