Dr. J Jerome Petro , DMD
Dentist - General Practice • Johnstown, PA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. J Petro has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. J Petro, DMD was a registered Dentist - General Practice practicing in Johnstown, PA. Throughout an active medical career spanning 18 years, Dr. Petro provided care at the practice location at 909 MENOHER BOULEVARD until profile deactivation on 2024-09-04.
Practice Location & Contact Primary Location
909 Menoher Boulevard
Johnstown, PA 15905
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Johnstown, PA
Practicing in Johnstown, PA (4936 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 04, 2024
NPI status registered as active in NPPES database
Registered at 909 MENOHER BOULEVARD, JOHNSTOWN, PA 15905 (Tel: 8145368793)
Registered at 909 MENOHER BOULEVARD, JOHNSTOWN, PA 15905 (Tel: 8145368793)
Recorded as J PETRO, DMD
Dentist (License #DS19044L in PA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
909 Menoher Boulevard
Johnstown, PA 15905
Phone: 8145368793
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