Anton Petrich, D.D.S, M.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

020941 Issued in OH

Practice address

8955 Wood Road
Building 1, RM 3521
Bethesda, MD 20889

Phone

(301) 295-1550

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1255316550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 WOOD ROAD",
            "address_2": "BLDG 1, RM 3521",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895628",
            "telephone_number": "301-295-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 WOOD ROAD",
            "address_2": "BUILDING 1, RM 3521",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20889",
            "telephone_number": "301-295-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRICH",
        "first_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "020941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Rose Peterson
• Paul Gabriel Peterson, M.D.
• Shian Liu Peterson, M.D.
• Carmine Nicola Petrarca, DDS MS
• Michael Allen Petrelli, DO
• Carol Guzewicz Petrie, P.T.
• Victoria Rooke Petro, DO
• Wehazit Petros
• Lindsay Petty, RN, BSN, IBCLC
• Jennifer C. Petzel, LCSW-C

• Prosthodontics in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Prosthodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.