Peter Jason Juntunen in Depere - Dentist
Peter Jason Juntunen - NPI 1912001926
Peter Jason Juntunen is a Dentist in Depere, Wisconsin. Peter Jason Juntunen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter Jason Juntunen is 1912001926. The last update date is 2007-07-08.
Peter Jason Juntunen's current location address is 115 S 8th St, Depere, Wisconsin. You can contact this provider via phone number 9203369002 and fax number 9203368304. The mailing address for Peter Jason Juntunen is 115 S 8th St, Depere, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Jason Juntunen |
|---|---|
| Address | 115 S 8th St, Depere, Wisconsin |
| Phone Number | 9203369002 |
| Fax Number | 9203368304 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912001926 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 115 S 8th St |
|---|---|
| City | Depere |
| State | Wisconsin (WI) |
| Post Code | 541151399 |
| Phone Number | 9203369002 |
| Fax Number | 9203368304 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4709 |
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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 issued to Peter Jason Juntunen by the Centers for Medicare & Medicaid Services?
The Peter Jason Juntunen has been assigned the NPI (National Provider Identifier) 1912001926 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Peter Jason Juntunen's facilities are geographically located?
The facilities of Peter Jason Juntunen are physically situated at the following location: 115 S 8Th St, Depere, WI, 541151399.
What is Peter Jason Juntunen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peter Jason Juntunen is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912001926 to Peter Jason Juntunen?
The Centers for Medicare & Medicaid Services assigned the 1912001926 to Peter Jason Juntunen on 2006-09-11.
As of what date were the details related to Peter Jason Juntunen most recently updated or revised?
The information pertaining to Peter Jason Juntunen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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