Kari Lee Peterson is a Dentist in St Cloud, Minnesota. Kari Lee Peterson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kari Lee Peterson is 1205995594. The last update date is 2007-07-08.
Kari Lee Peterson's current location address is 4140 Theilman Lane, St Cloud, Minnesota. You can contact this provider via phone number 3202524126 and fax number 3202026507. The mailing address for Kari Lee Peterson is 4140 Theilman Lane, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kari Lee Peterson |
|---|---|
| Address | 4140 Theilman Lane, St Cloud, Minnesota |
| Phone Number | 3202524126 |
| Fax Number | 3202026507 |
| Sole Proprietor | N |
| Credentials | DENTIST DD |
NPI Number Detail
| NPI Number | 1205995594 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4140 Theilman Lane |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 56301 |
| Phone Number | 3202524126 |
| Fax Number | 3202026507 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D12255 |
|
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 |
|---|---|---|---|
| 8397078 | MN | STATE ID |
Post Comment/ Review Below
What is the unique identifier code issued to Kari Lee Peterson by the Centers for Medicare & Medicaid Services?
The Kari Lee Peterson has been assigned the NPI (National Provider Identifier) 1205995594. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kari Lee Peterson is physically located?
The Kari Lee Peterson is situated at the following address: 4140 Theilman Lane, St Cloud, MN 56301.
What is Kari Lee Peterson's area of expertise and its corresponding taxonomy classification?
The Kari Lee Peterson's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1205995594 to Kari Lee Peterson?
The Centers for Medicare & Medicaid Services assigned the 1205995594 to Kari Lee Peterson on 2006-12-06.
When was the Kari Lee Peterson's information last updated?
The Kari Lee Peterson's information was last updated on 2007-07-08.
NPI Number: 1306849500
Address: 1009 North State Of Franklin Access Road, Johnson City, TN