Karen Y. Petty, Dds, Pa

LBN: Karen Y. Petty, Dds, Pa
Karen Y. Petty, Dds, Pa is an health care organization with primary practice located at 310 W Millbrook Rd Suite 100, Raleigh NC 27609-4306. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Karen Y. Petty, Dds, Pa can be contacted via phone (919) 875-1630, or through Petty, Karen via phone (919) 875-1630.

Contact Information

Primary practice address
310 W Millbrook Rd Suite 100 Raleigh NC 27609-4306
Phone: (919) 875-1630
Fax: (919) 875-1629
Website:
Map and Directions
Authorized official contact:
Name: Petty, Karen Doctor of Dental Surgery (DDS)
Phone: (919) 875-1630

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6633 North Carolina

Profile Details

NPI number 1669644282
LBN Legal business name Karen Y. Petty, Dds, Pa
DBA Doing business as
Authorized official Petty, Karen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2008
Last updated Mar 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669644282 NPPES
North Carolina Other 899016E BCBS
North Carolina MEDICAID 899016E BCBS
North Carolina MEDICAID 8996848 BCBS

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