Gary Ray Peterson is a Dentist in Missoula, Montana. Gary Ray Peterson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary Ray Peterson is 1285799304. The last update date is 2016-04-13.
Gary Ray Peterson's current location address is 3815 Stephens Ave, Missoula, Montana. You can contact this provider via phone number 4067280201 and fax number 4067280201. The mailing address for Gary Ray Peterson is 3815 Stephens Ave, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Ray Peterson |
|---|---|
| Address | 3815 Stephens Ave, Missoula, Montana |
| Phone Number | 4067280201 |
| Fax Number | 4067280201 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1285799304 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2016-04-13 |
Provider Mailing Address Detail
| Address | 3815 Stephens Ave |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598018505 |
| Phone Number | 4067280201 |
| Fax Number | 4067280201 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1359 |
|
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 |
|---|---|---|---|
| 120037 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary Ray Peterson by the Centers for Medicare & Medicaid Services?
The Gary Ray Peterson has been issued the NPI (National Provider Identifier) 1285799304 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Gary Ray Peterson is geographically located?
The Gary Ray Peterson is physically situated at the following location: 3815 Stephens Ave, Missoula, MT, 598018505.
What is Gary Ray Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Ray Peterson's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285799304 to Gary Ray Peterson?
The Gary Ray Peterson received its 1285799304 assignment from the Centers for Medicare & Medicaid Services on 2006-12-27.
When was the Gary Ray Peterson's information last updated?
The Gary Ray Peterson's information was last updated on 2016-04-13.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA