Bruce A Peterson in Rock Island - General Practice
Bruce A Peterson - NPI 1518022912
Bruce A Peterson is a General Practice in Rock Island, Illinois. Bruce A Peterson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce A Peterson is 1518022912. The last update date is 2007-07-08.
Bruce A Peterson's current location address is 2917 17th St, Rock Island, Illinois. You can contact this provider via phone number 3097886001 and fax number 3097886450. The mailing address for Bruce A Peterson is 2917 17th St, Rock Island, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce A Peterson |
|---|---|
| Address | 2917 17th St, Rock Island, Illinois |
| Phone Number | 3097886001 |
| Fax Number | 3097886450 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1518022912 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2917 17th St |
|---|---|
| City | Rock Island |
| State | Illinois (IL) |
| Post Code | 612015382 |
| Phone Number | 3097886001 |
| Fax Number | 3097886450 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | A-13716 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the Bruce A Peterson's unique identification number?
The Bruce A Peterson has been assigned the NPI (National Provider Identifier) Number 1518022912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Bruce A Peterson's physical address?
The Bruce A Peterson is physically located at 2917 17Th St, in the city of Rock Island, IL, with the postal code 612015382.
What is the Bruce A Peterson's area of specialization and corresponding taxonomy classification?
The Bruce A Peterson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did Bruce A Peterson receive its 1518022912 assignment?
The Bruce A Peterson was assigned its 1518022912 on 2006-12-26, which is the date when this unique identifier was issued to the organization.
When was the information related to Bruce A Peterson most recently updated or refreshed?
The details pertaining to the Bruce A Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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