person
Dr. Scott Fraser Petrie, DMD
Pediatric Dentist in Walpole, Massachusetts
NPI 1063434983

Scott Fraser Petrie is a Pediatric Dentist based in Medfield, MA and is specialized in Pediatric Dentistry. Scott Fraser Petrie practices in Walpole, MA and has the professional credentials of DMD. The NPI Number for Scott Fraser Petrie is 1063434983 and holds a License No. 16601 (Massachusetts).

The current practice location address for Scott Fraser Petrie is 1428 Main St, Walpole, MA and can be reached out via phone at 508-668-8008 and via fax at 508-668-8808.

Location: 1428 Main St, Walpole, MA, 02052-2819
person
Provider Profile Details
NPI Number
1063434983
Provider Name
Scott Fraser Petrie
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1428 Main St, Walpole, MA, 02052-2819
Phone Number
508-668-8008
Fax Number
508-668-8808
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000708 01 MA DELTA
X10973 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
1428 Main St
City
State
Zip
02081
Phone Number
508-668-8008
Fax Number
508-668-8808
person
Provider Business Mailing Address Details
Address
1428 Main St
City
State
Zip
02081
Phone Number
508-668-8008
Fax Number
508-668-8808
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
16601 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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