Active NPI
Loren Michael Petry, DDS
- General Practice Dentistry
- Akron, OH
National Provider Identifier
1720083728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14317
- Practice address
- 508 E Exchange St
Akron, OH 44304-1865 - Phone
- (330) 434-3485
- Fax
- (330) 762-1600
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14317 | OH | Primary |
Addresses
Primary practice location
508 E Exchange St
Akron, OH 44304-1865
Mailing address
6311 Bertram Ave NW
Canton, OH 44718-2261
Phone (330) 966-0034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14317 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720083728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6311 BERTRAM AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182261",
"telephone_number": "330-966-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E EXCHANGE ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041865",
"telephone_number": "330-434-3485",
"fax_number": "330-762-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRY",
"first_name": "LOREN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "14317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.