Michael a Petrillo DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS018728 Issued in PA

Legal business name

MICHAEL A PETRILLO DMD PC

Practice address

2019 Industrial Dr Unit 1
Bethlehem, PA 18017-2160

Phone

(610) 868-7601

Fax

(610) 867-8128

NPI assigned

May 24, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Linda Susan Petrillo

Title

Administrator

Phone

(610) 868-7601

Specialties & licenses 1

Addresses

Other names 1

• Lehigh Valley Smile Designs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Petrillo, D.M.D.

  • General Practice Dentistry
  • Bethlehem, PA
  • NPI 1407069420
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1083105100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 INDUSTRIAL DR UNIT 1",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172160",
            "telephone_number": "610-868-7601",
            "fax_number": "610-867-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 INDUSTRIAL DR UNIT 1",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172160",
            "telephone_number": "610-868-7601",
            "fax_number": "610-867-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A PETRILLO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "PETRILLO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-868-7601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Valley Smile Designs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wester Ramon Messina, LPC
• Martha M. Metzgar, D.O.
• Melissa Meyer, L.AC.
• Mireille M Meyerhoefer, MD., PHD
• Malyher Mian, CRNA
• Michael L. Orowitz DPM
• Alexandria Dominica Michael, CRNP
• Eva Michael, M.D.
• Megan Marie Michaels, DO
• Audrey Michalak, CRNP

• General Practice Dentistry in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.