Anthony J. Petro, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-016195 Issued in OH

Practice address

6659 Pearl Rd
Suite 403
Parma Heights, OH 44130-3821

Phone

(440) 843-8200

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821160557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 PEARL RD",
            "address_2": "SUITE 403",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303821",
            "telephone_number": "440-843-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 PEARL RD",
            "address_2": "SUITE 403",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303821",
            "telephone_number": "440-843-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRO",
        "first_name": "ANTHONY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-016195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra R Payne, RPH
• Maria De Jesus Paz
• Jeanne Peacock, OTR/L
• Pearl Leasing Co., LLC (Greenbrier Healthcare Center)
• Elizabeth Anne Petit, RPH
• Jennifer A Phillips, C-NP
• Carmen Popa, MD
• Thomas Albert Porter, PSY.S.
• Karen Ann Powell
• Psychological Health Center & Alcoholism Treatment Program, Inc.

• General Practice Dentistry in Parma Heights, OH
• Providers in Parma Heights, 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 8, 2007; 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.