Steven Blaine Petersen in Lakeville - General Practice
Steven Blaine Petersen - NPI 1184840365
Steven Blaine Petersen is a General Practice in Lakeville, Minnesota. Steven Blaine Petersen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Steven Blaine Petersen is 1184840365. The last update date is 2007-07-08.
Steven Blaine Petersen'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 Steven Blaine Petersen is 9202 202nd St W, Lakeville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Blaine Petersen |
|---|---|
| Address | 9202 202nd St W, Lakeville, Minnesota |
| Phone Number | 9524692818 |
| Fax Number | 9524692566 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1184840365 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
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 identification code assigned to Steven Blaine Petersen by the Centers for Medicare & Medicaid Services?
The Steven Blaine Petersen has been issued the NPI (National Provider Identifier) 1184840365. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Steven Blaine Petersen is located?
The Steven Blaine Petersen is situated at the following address: 9202 202Nd St W, Lakeville, MN, 550447915.
What is the area of specialization for Steven Blaine Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Steven Blaine Petersen is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did the Steven Blaine Petersen receive its 1184840365?
The Steven Blaine Petersen was issued its 1184840365 on 2007-04-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Steven Blaine Petersen last refreshed?
The information related to the Steven Blaine Petersen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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