Gary R Peterson is a Dentist in Buzzards Bay, Massachusetts. Gary R Peterson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary R Peterson is 1437348109. The last update date is 2007-10-18.
Gary R Peterson's current location address is 258 Main St, Buzzards Bay, Massachusetts. You can contact this provider via phone number 5087592721 and fax number 5087596216. The mailing address for Gary R Peterson is 258 Main St, Buzzards Bay, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary R Peterson |
|---|---|
| Address | 258 Main St, Buzzards Bay, Massachusetts |
| Phone Number | 5087592721 |
| Fax Number | 5087596216 |
| Sole Proprietor | N |
| Credentials | DMD, MPH |
NPI Number Detail
| NPI Number | 1437348109 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | 258 Main St |
|---|---|
| City | Buzzards Bay |
| State | Massachusetts (MA) |
| Post Code | 25323222 |
| Phone Number | 5087592721 |
| Fax Number | 5087596216 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14376 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38-768 | MA | HARVARD PILGRIM HTHCARE | |
| 441 | MA | DELTA DENTAL OF MA | |
| X11460 | MA | BLUE CROSS BLUE SHIELD | |
| 711889 | MA | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary R Peterson?
The Gary R Peterson has been issued the NPI (National Provider Identifier) 1437348109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Gary R Peterson?
The Gary R Peterson is situated at 258 Main St, in the city of Buzzards Bay, state of MA, with the zip code 25323222.
What is Gary R Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary R Peterson is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When was the Gary R Peterson's 1437348109 issued?
The Gary R Peterson's 1437348109 was issued on 2007-10-18.
When was the information regarding Gary R Peterson most recently updated?
The details pertaining to the Gary R Peterson, including its address, specialty, and other relevant information, were last refreshed on 2007-10-18.
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