Dr. Scott Fraser Petrie
Pediatric Dentist
1428 Main St Suite 1
Walpole
, Massachusetts 02081
Dr. Scott Fraser Petrie
Pediatric Dentist
1428 Main St Suite 1
Walpole
, Massachusetts 02081
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Scott Fraser Petrie
- 11 Grace Dr
- Medfield, MA
- Zip : 02052-2819
- Phone :
Second Address
- Dr. Scott Fraser Petrie
- 1428 Main St Suite 1
- Walpole, MA
- Zip : 02081
- Fax : (508) 668-8808
- Phone : (508) 668-8008
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 16601 | MA |
National Provider Identifier
| NPI | 1063434983 |
|---|---|
| Provider Name | Dr. Scott Fraser Petrie |
| First Address | Medfield, MA 02052-2819 |
| Second Address | Walpole, MA 02081 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000708 | DELTA (01) | MA |
| X10973 | BCBS (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.