Thomas P Petrick Jr., DMD
Family Medicine in Guilford, Connecticut
1043318421- Practice location
- 157 Goose Lane, Guilford, CT 06437-2100
- Phone
- 203-453-4475
- Fax
- 203-453-3314
- Last updated
- March 7, 2023
Thomas P Petrick is a Family Medicine based in Guilford, CT. Thomas P Petrick practices in Guilford, CT and has the professional credentials of DMD. The NPI Number for Thomas P Petrick is 1043318421 and holds a License No. CT007691 (CT). The current practice location address for Thomas P Petrick is 157 Goose Lane, Guilford, CT 06437-2100 and can be reached out via phone at 203-453-4475 and via fax at 203-453-3314.
Provider Profile Details
- NPI Number
- 1043318421
- Provider Name
- Thomas P Petrick
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 157 Goose Lane, Guilford, CT 06437-2100
- Phone Number
- 203-453-4475
- Fax Number
- 203-453-3314
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- March 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 157 Goose Lane
Guilford, CT 06437-2100 - City
- Guilford
- State
- Connecticut
- Zip
- 06437-2100
- Phone Number
- 203-453-4475
- Fax Number
- 203-453-3314
Provider Business Mailing Address Details
- Address
- 157 Goose Lane
Guilford, CT 06437-2100 - City
- Guilford
- State
- CT
- Zip
- 06437-2100
- Phone Number
- 203-453-4475
- Fax Number
- 203-453-3314
License Information
- License Number
- CT007691
- License State
- CT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Guilford, CT
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- Alexandra Liggio, MSN, APRN, FNP-CFamily Medicine · NPI 1508561085
- Anthony Mascia, MDFamily Medicine · NPI 1306856281
- Bora Park, DOFamily Medicine · NPI 1609515030
- Dr. Anne E Youngling, DOFamily Medicine · NPI 1245242643
- Dr. Carl A Violano, MDFamily Medicine · NPI 1518151596
Frequently Asked Questions
What is the NPI number of Thomas P Petrick Jr., DMD?
The NPI number of Thomas P Petrick Jr., DMD is 1043318421. It was assigned on September 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Thomas P Petrick Jr., DMD?
Thomas P Petrick Jr., DMD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number CT007691.
Where does Thomas P Petrick Jr., DMD practice?
The practice location is 157 Goose Lane, Guilford, CT 06437-2100. The office can be reached at 203-453-4475 (phone) or 203-453-3314 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043318421 directly on the NPPES registry website.