Petersen Family Dental Clinic Pa in Lakeville - General Practice
Petersen Family Dental Clinic Pa - NPI 1720199953
Petersen Family Dental Clinic Pa is a General Practice in Lakeville, Minnesota. Petersen Family Dental Clinic Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Petersen Family Dental Clinic Pa is 1720199953. The last update date is 2020-08-22.
Petersen Family Dental Clinic Pa's current location address is 9202 202nd St W, Lakeville, Minnesota. You can contact this provider via phone number 9524692818 and fax number 9524692566. The mailing address for Petersen Family Dental Clinic Pa is 9202 202nd St W, Lakeville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petersen Family Dental Clinic Pa |
|---|---|
| Address | 9202 202nd St W, Lakeville, Minnesota |
| Phone Number | 9524692818 |
| Fax Number | 9524692566 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Petersen Blaine Steven |
| Credentials | D.D.S. |
| Telephone Number | 9524692818 |
NPI Number Detail
| NPI Number | 1720199953 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9202 202nd St W |
|---|---|
| City | Lakeville |
| State | Minnesota (MN) |
| Post Code | 550447915 |
| Phone Number | 9524692818 |
| Fax Number | 9524692566 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D10525 |
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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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What is the unique 10-digit identification code issued to Petersen Family Dental Clinic Pa by the Centers for Medicare & Medicaid Services?
The Petersen Family Dental Clinic Pa has been assigned the NPI (National Provider Identifier) 1720199953 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Petersen Family Dental Clinic Pa's physical address?
The Petersen Family Dental Clinic Pa is physically located at 9202 202Nd St W, in the city of Lakeville, MN, with the postal code 550447915.
What is Petersen Family Dental Clinic Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Petersen Family Dental Clinic Pa is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Petersen Family Dental Clinic Pa receive its 1720199953 assignment from the Centers for Medicare & Medicaid Services?
The Petersen Family Dental Clinic Pa was assigned its 1720199953 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Petersen Family Dental Clinic Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Petersen Family Dental Clinic Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.