Ronald Lee Petersen in Charleston - Dentist
Ronald Lee Petersen - NPI 1194830760
Ronald Lee Petersen is a Dentist in Charleston, Missouri. Ronald Lee Petersen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ronald Lee Petersen is 1194830760. The last update date is 2007-07-08.
Ronald Lee Petersen's current location address is 104 North Main St, Charleston, Missouri. You can contact this provider via phone number 5736832101 and fax number 5736832102. The mailing address for Ronald Lee Petersen is 104 North Main St, Charleston, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Lee Petersen |
|---|---|
| Address | 104 North Main St, Charleston, Missouri |
| Phone Number | 5736832101 |
| Fax Number | 5736832102 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1194830760 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 104 North Main St |
|---|---|
| City | Charleston |
| State | Missouri (MO) |
| Post Code | 63834 |
| Phone Number | 5736832101 |
| Fax Number | 5736832102 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14068 |
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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 assigned to Ronald Lee Petersen by the Centers for Medicare & Medicaid Services?
The Ronald Lee Petersen has been issued the NPI (National Provider Identifier) 1194830760 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Ronald Lee Petersen?
The Ronald Lee Petersen is situated at 104 North Main St, in the city of Charleston, state of MO, with the zip code 63834.
What is Ronald Lee Petersen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ronald Lee Petersen is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Ronald Lee Petersen receive its 1194830760 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Lee Petersen was assigned its 1194830760 on 2006-08-21, 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 Ronald Lee Petersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ronald Lee Petersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.