Elden Walter Peterson in West Jordan - Dentist
Elden Walter Peterson - NPI 1003966169
Elden Walter Peterson is a Dentist in West Jordan, Utah. Elden Walter Peterson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Elden Walter Peterson is 1003966169. The last update date is 2007-07-08.
Elden Walter Peterson's current location address is 9269 Redwood Rd, West Jordan, Utah. You can contact this provider via phone number 8015664153 and fax number 8015661963. The mailing address for Elden Walter Peterson is 9269 Redwood Rd, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elden Walter Peterson |
|---|---|
| Address | 9269 Redwood Rd, West Jordan, Utah |
| Phone Number | 8015664153 |
| Fax Number | 8015661963 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1003966169 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9269 Redwood Rd |
|---|---|
| City | West Jordan |
| State | Utah (UT) |
| Post Code | 840886572 |
| Phone Number | 8015664153 |
| Fax Number | 8015661963 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1307709922 |
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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 identifier code issued to Elden Walter Peterson by the Centers for Medicare & Medicaid Services?
The Elden Walter Peterson has been assigned the NPI (National Provider Identifier) 1003966169. 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 physical address where Elden Walter Peterson is located?
The Elden Walter Peterson is situated at the following address: 9269 Redwood Rd, West Jordan, UT, 840886572.
What is Elden Walter Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Elden Walter Peterson is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did Elden Walter Peterson receive its 1003966169 assignment?
The Elden Walter Peterson was assigned its 1003966169 on 2007-01-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Elden Walter Peterson last refreshed?
The information related to the Elden Walter Peterson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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