Kristy Lynn Petersen in Woodbury - Dentist
Kristy Lynn Petersen - NPI 1407948060
Kristy Lynn Petersen is a Dentist in Woodbury, Minnesota. Kristy Lynn Petersen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kristy Lynn Petersen is 1407948060. The last update date is 2018-01-10.
Kristy Lynn Petersen's current location address is 10150 City Walk Dr Apt C, Woodbury, Minnesota. You can contact this provider via phone number 6517145555 and fax number 6517149005. The mailing address for Kristy Lynn Petersen is 10150 City Walk Dr Apt C, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristy Lynn Petersen |
|---|---|
| Address | 10150 City Walk Dr Apt C, Woodbury, Minnesota |
| Phone Number | 6517145555 |
| Fax Number | 6517149005 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1407948060 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2018-01-10 |
Provider Mailing Address Detail
| Address | 10150 City Walk Dr Apt C |
|---|---|
| City | Woodbury |
| State | Minnesota (MN) |
| Post Code | 551299270 |
| Phone Number | 6517145555 |
| Fax Number | 6517149005 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5884015 |
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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 provider identifier assigned to Kristy Lynn Petersen?
The Kristy Lynn Petersen has been issued the NPI (National Provider Identifier) 1407948060 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kristy Lynn Petersen's physical address?
The Kristy Lynn Petersen is physically located at 10150 City Walk Dr Apt C, in the city of Woodbury, MN, with the postal code 551299270.
What is Kristy Lynn Petersen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kristy Lynn Petersen's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did Kristy Lynn Petersen receive its 1407948060 assignment from the Centers for Medicare & Medicaid Services?
The Kristy Lynn Petersen was assigned its 1407948060 on 2006-09-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kristy Lynn Petersen most recently updated?
The details pertaining to the Kristy Lynn Petersen, including its address, specialty, and other relevant information, were last refreshed on 2018-01-10.