Benjamin Robert Peterson in Waterloo - Dentist
Benjamin Robert Peterson - NPI 1801052915
Benjamin Robert Peterson is a Dentist in Waterloo, Iowa. Benjamin Robert Peterson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Benjamin Robert Peterson is 1801052915. The last update date is 2010-10-04.
Benjamin Robert Peterson's current location address is 424 South St., Waterloo, Iowa. You can contact this provider via phone number 3192342684 and fax number 3192335974. The mailing address for Benjamin Robert Peterson is 424 South St., Waterloo, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Robert Peterson |
|---|---|
| Address | 424 South St., Waterloo, Iowa |
| Phone Number | 3192342684 |
| Fax Number | 3192335974 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1801052915 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2010-10-04 |
Provider Mailing Address Detail
| Address | 424 South St. |
|---|---|
| City | Waterloo |
| State | Iowa (IA) |
| Post Code | 50701 |
| Phone Number | 3192342684 |
| Fax Number | 3192335974 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D12600 |
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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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What is the unique 10-digit identifier code issued to Benjamin Robert Peterson by the Centers for Medicare & Medicaid Services?
The Benjamin Robert Peterson has been assigned the NPI (National Provider Identifier) 1801052915 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Benjamin Robert Peterson's facilities are geographically located?
The facilities of Benjamin Robert Peterson are physically situated at the following location: 424 South St., Waterloo, IA, 50701.
What is Benjamin Robert Peterson'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 Benjamin Robert Peterson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Benjamin Robert Peterson receive the assignment of its 1801052915 from the Centers for Medicare & Medicaid Services?
The Benjamin Robert Peterson was issued its 1801052915 by the Centers for Medicare & Medicaid Services on 2008-07-29.
When was the information related to Benjamin Robert Peterson most recently updated or refreshed?
The details pertaining to the Benjamin Robert Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-10-04.