Gary Joseph Petro, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3793 Issued in AL

Practice address

385 Bryan Rd
Suite 300
Sumiton, AL 35148-3422

Phone

(205) 648-6054

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 2007By 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 AL

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affordable Dentures - Albertville, P.C.

  • Dentist
  • Albertville, AL
  • NPI 1306301643
  NPD (past) Authorized official
• Alabama Family Dentistry LLC

  dba Sumiton Family Dentistry

  • General Practice Dentistry
  • Sumiton, AL
  • NPI 1437582285
  NPD (past)
• Sumiton Family Dentistry, LLC

  • Dental Clinic/Center
  • Sumiton, AL
  • NPI 1265946768
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679797112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "address_2": "385 BRYAN ROAD SUITE 300",
            "city": "SUMITON",
            "state": "AL",
            "postal_code": "351480745",
            "telephone_number": "205-648-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BRYAN RD",
            "address_2": "SUITE 300",
            "city": "SUMITON",
            "state": "AL",
            "postal_code": "351483422",
            "telephone_number": "205-648-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRO",
        "first_name": "GARY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Elizabeth Mize
• Ha Thi Nguyen, OD
• Patrice P. Nix, RPH
• Priya Anil Patel
• Perry Eye & Vision Inc
• Staci Ragsdale
• Reliance Associates, LLC
• Reliance Associates, LLC
• Rush Initiative
• Rush Initiative

• General Practice Dentistry in Sumiton, AL
• Providers in Sumiton, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.