Provider Demographics
NPI:1790847184
Name:PETRAGLIA, WILLIAM FRANK (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANK
Last Name:PETRAGLIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 CENTRE AVENUE
Mailing Address - Street 2:SUITE LL 4 ESSEX HOUSE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3787
Mailing Address - Country:US
Mailing Address - Phone:412-661-7500
Mailing Address - Fax:412-661-7592
Practice Address - Street 1:5701 CENTRE AVENUE
Practice Address - Street 2:SUITE LL 4 ESSEX HOUSE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3787
Practice Address - Country:US
Practice Address - Phone:412-661-7500
Practice Address - Fax:412-661-7592
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021933L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice