Carl Frederick Peterson in Rossville - Dentist

Carl Frederick Peterson - NPI 1386706448

Carl Frederick Peterson is a Dentist in Rossville, Georgia. Carl Frederick Peterson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Carl Frederick Peterson is 1386706448. The last update date is 2007-07-08.

Carl Frederick Peterson's current location address is 1200 Mcfarland Ave, Rossville, Georgia. You can contact this provider via phone number 7068611828 and fax number 7068611936. The mailing address for Carl Frederick Peterson is 1200 Mcfarland Ave, Rossville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Carl Frederick Peterson
Address 1200 Mcfarland Ave, Rossville, Georgia
Phone Number 7068611828
Fax Number 7068611936
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1386706448
Provider Enumeration Date 2006-12-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1200 Mcfarland Ave
City Rossville
State Georgia (GA)
Post Code 307412312
Phone Number 7068611828
Fax Number 7068611936

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DS 8378
Definition:
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: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000061685A GA --

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FAQs about Carl Frederick Peterson

What is the unique identification code assigned to Carl Frederick Peterson by the Centers for Medicare & Medicaid Services?

The Carl Frederick Peterson has been issued the NPI (National Provider Identifier) 1386706448. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Carl Frederick Peterson is geographically located?

The Carl Frederick Peterson is physically situated at the following location: 1200 Mcfarland Ave, Rossville, GA, 307412312.

What is Carl Frederick Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carl Frederick Peterson's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Carl Frederick Peterson receive the assignment of its 1386706448 from the Centers for Medicare & Medicaid Services?

The Carl Frederick Peterson was issued its 1386706448 by the Centers for Medicare & Medicaid Services on 2006-12-15.

When was the information regarding Carl Frederick Peterson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Carl Frederick Peterson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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