Kevin L Peterson in Brookline - Endodontics

Kevin L Peterson - NPI 1699789115

Kevin L Peterson is a Endodontics in Brookline, Massachusetts. Kevin L Peterson practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Kevin L Peterson is 1699789115. The last update date is 2007-07-08.

Kevin L Peterson's current location address is 1 Brookline Pl, Brookline, Massachusetts. You can contact this provider via phone number 6177358500. The mailing address for Kevin L Peterson is 1 Brookline Pl, Brookline, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin L Peterson
Address 1 Brookline Pl, Brookline, Massachusetts
Phone Number 6177358500
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1699789115
Provider Enumeration Date 2006-07-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Brookline Pl
City Brookline
State Massachusetts (MA)
Post Code 24457224
Phone Number 6177358500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No 19670
Definition:
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti

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FAQs about Kevin L Peterson

What is the unique identifier code issued to Kevin L Peterson by the Centers for Medicare & Medicaid Services (CMS)?

The Kevin L Peterson has been assigned the NPI (National Provider Identifier) 1699789115. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Kevin L Peterson is physically located?

The Kevin L Peterson is physically situated at the following address: 1 Brookline Pl, Brookline, MA, 24457224.

What is Kevin L Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kevin L Peterson is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.

On what date was the 1699789115 assigned to Kevin L Peterson?

The Kevin L Peterson was issued its 1699789115 on 2006-07-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kevin L Peterson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kevin L Peterson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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