Bryan James Petersen in Grangeville - Dentist
Bryan James Petersen - NPI 1205994373
Bryan James Petersen is a Dentist in Grangeville, Idaho. Bryan James Petersen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bryan James Petersen is 1205994373. The last update date is 2007-07-08.
Bryan James Petersen's current location address is 216 S College St, Grangeville, Idaho. You can contact this provider via phone number 2089832145. The mailing address for Bryan James Petersen is 216 S College St, Grangeville, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan James Petersen |
|---|---|
| Address | 216 S College St, Grangeville, Idaho |
| Phone Number | 2089832145 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1205994373 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 216 S College St |
|---|---|
| City | Grangeville |
| State | Idaho (ID) |
| Post Code | 835301922 |
| Phone Number | 2089832145 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D-3101 |
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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 |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Bryan James Petersen?
The Bryan James Petersen has been issued the NPI (National Provider Identifier) 1205994373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Bryan James Petersen is physically located?
The Bryan James Petersen is situated at the following address: 216 S College St, Grangeville, ID 835301922.
What is Bryan James Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bryan James Petersen is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205994373 to Bryan James Petersen?
The Centers for Medicare & Medicaid Services originally issued the 1205994373 to Bryan James Petersen on 2006-12-04.
When was the information regarding Bryan James Petersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bryan James Petersen, 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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