Individual provider · Type 1 NPI

Jerek Bradford Petrous, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Madison Heights, MI

NPI number 1689016982 Active

Practice location

30201 Dequindre Rd
Madison Heights, MI 48071-2284

Fax (248) 588-5610

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2901020512 (MI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1689016982

Jerek Bradford Petrous, DDS, M.S.'s National Provider Identifier is 1689016982, issued on Jul 27, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Madison Heights, MI. The record was last updated on Jul 27, 2013.