Eric L Peterson Dds Pc in Elmira Heights - General Practice

Eric L Peterson Dds Pc - NPI 1639165384

Eric L Peterson Dds Pc is a General Practice in Elmira Heights, New York. Eric L Peterson Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eric L Peterson Dds Pc is 1639165384. The last update date is 2020-08-22.

Eric L Peterson Dds Pc's current location address is 225 Scottwood Ave, Elmira Heights, New York. You can contact this provider via phone number 6077333616 and fax number 6077331053. The mailing address for Eric L Peterson Dds Pc is 225 Scottwood Ave, Elmira Heights, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eric L Peterson Dds Pc
Address 225 Scottwood Ave, Elmira Heights, New York
Phone Number 6077333616
Fax Number 6077331053
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Peterson Laurence Eric
Credentials DDS
Telephone Number 6077333616

NPI Number Detail

NPI Number 1639165384
Provider Enumeration Date 2005-09-27
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 225 Scottwood Ave
City Elmira Heights
State New York (NY)
Post Code 149031322
Phone Number 6077333616
Fax Number 6077331053

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 49002
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2169271 NY --

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FAQs about Eric L Peterson Dds Pc

What is the unique 10-digit identifier code assigned to Eric L Peterson Dds Pc by the Centers for Medicare & Medicaid Services?

The Eric L Peterson Dds Pc has been issued the NPI (National Provider Identifier) 1639165384 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Eric L Peterson Dds Pc?

The Eric L Peterson Dds Pc is physically situated at 225 Scottwood Ave, in the city of Elmira Heights, state of NY, with the postal code 149031322.

What is Eric L Peterson Dds Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Eric L Peterson Dds Pc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

When did the Eric L Peterson Dds Pc receive its 1639165384?

The Eric L Peterson Dds Pc was issued its 1639165384 on 2005-09-27, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Eric L Peterson Dds Pc most recently updated or revised?

The information pertaining to Eric L Peterson Dds Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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