Craig Albert Peterson in Waseca - General Practice
Craig Albert Peterson - NPI 1922128404
Craig Albert Peterson is a General Practice in Waseca, Minnesota. Craig Albert Peterson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Craig Albert Peterson is 1922128404. The last update date is 2007-07-08.
Craig Albert Peterson's current location address is 1504 4th St Ne, Waseca, Minnesota. You can contact this provider via phone number 5078351080 and fax number 5078351184. The mailing address for Craig Albert Peterson is 1504 4th St Ne, Waseca, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Craig Albert Peterson |
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Address | 1504 4th St Ne, Waseca, Minnesota |
Phone Number | 5078351080 |
Fax Number | 5078351184 |
Sole Proprietor | Y |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1922128404 |
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Provider Enumeration Date | 2007-03-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1504 4th St Ne |
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City | Waseca |
State | Minnesota (MN) |
Post Code | 56093 |
Phone Number | 5078351080 |
Fax Number | 5078351184 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 7460 |
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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What is the unique identification code assigned to Craig Albert Peterson by the Centers for Medicare & Medicaid Services?
The Craig Albert Peterson has been issued the NPI (National Provider Identifier) 1922128404. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Craig Albert Peterson's facilities are situated?
The facilities of Craig Albert Peterson are physically located at the following address: 1504 4Th St Ne, Waseca, MN, 56093.
What is Craig Albert Peterson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Craig Albert Peterson is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did Craig Albert Peterson receive its 1922128404 assignment from the Centers for Medicare & Medicaid Services?
The Craig Albert Peterson was assigned its 1922128404 on 2007-03-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Craig Albert Peterson most recently updated or revised?
The information pertaining to Craig Albert Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC