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Kevin T. Petrie, DDS
General Practice Dentistry in Wichita, Kansas
NPI 1144325671

Kevin T. Petrie is a General Practice Dentistry based in Wichita, KS and is specialized in General Practice. Kevin T. Petrie practices in Wichita, KS and has the professional credentials of DDS. The NPI Number for Kevin T. Petrie is 1144325671 and holds a License No. 5763 (Kansas).

The current practice location address for Kevin T. Petrie is 3455 W 13Th St N, Wichita, KS and can be reached out via phone at 316-945-0543.

Location: 3455 W 13Th St N, Wichita, KS, 67235-1220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144325671
Provider Name
Kevin T. Petrie
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3455 W 13Th St N, Wichita, KS, 67235-1220
Phone Number
316-945-0543
Fax Number
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10022250A 05 KS
7849 01 KS BCBS ID
institution
Provider Business Practice Location Address Details
Address
3455 W 13Th St N
City
Wichita
State
Kansas
Zip
67203-4500
Phone Number
316-945-0543
Fax Number
person
Provider Business Mailing Address Details
Address
3455 W 13Th St N
City
Wichita
State
Kansas
Zip
67203-4500
Phone Number
316-945-0543
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5763 (Kansas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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