Robert Nolan Petrtyl, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30016539 Issued in OH

Practice address

3389 Walnut St.
Sharonville, OH 45241-1989

Phone

(513) 554-4657

Fax

(513) 554-1739

NPI assigned

May 3, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467410746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 WALNUT ST.",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452411989",
            "telephone_number": "513-554-4657",
            "fax_number": "513-554-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3389 WALNUT ST.",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452411989",
            "telephone_number": "513-554-4657",
            "fax_number": "513-554-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRTYL",
        "first_name": "ROBERT",
        "middle_name": "NOLAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30016539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ohio CVS Stores LLC (CVS Pharmacy #06082)
• Melinda Parker-Troutman
• Keri Perdrix, LPC
• Olivia Pesina, LPCC
• Beth Petrey
• Ashley Ping, LPCC, NCC
• Premise Health of Ohio Medical PA (Butler Advantage - Sharonville)
• Veronica Marie Pugh
• Reliable Medical Supply LLC
• Gladis Haydee Reyes

• General Practice Dentistry in Sharonville, OH
• Providers in Sharonville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.