Individual provider · Type 1 NPI

Jerilyn A. Petrovich, DDS

Dentist · Phoenix, AZ

NPI number 1851373583 Active

Practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Call (602) 344-5011 Map

Mailing address

PO Box 5177
Phoenix, AZ 85010-5177

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2209 (AZ)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1851373583

Jerilyn A. Petrovich, DDS's National Provider Identifier is 1851373583, issued on Nov 17, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.