Burke B. Peterson in Salt Lake City - General Practice

Burke B. Peterson - NPI 1366644668

Burke B. Peterson is a General Practice in Salt Lake City, Utah. Burke B. Peterson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Burke B. Peterson is 1366644668. The last update date is 2007-07-08.

Burke B. Peterson's current location address is 250 E Broadway, Salt Lake City, Utah. You can contact this provider via phone number 8013224082 and fax number 8013224082. The mailing address for Burke B. Peterson is 250 E Broadway, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Burke B. Peterson
Address 250 E Broadway, Salt Lake City, Utah
Phone Number 8013224082
Fax Number 8013224082
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1366644668
Provider Enumeration Date 2007-05-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 250 E Broadway
City Salt Lake City
State Utah (UT)
Post Code 841112418
Phone Number 8013224082
Fax Number 8013224082

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 135446
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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FAQs about Burke B. Peterson

What is the Burke B. Peterson's 1366644668?

The Burke B. Peterson's NPI (National Provider Identifier) Number is 1366644668. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Burke B. Peterson's facilities are geographically located?

The facilities of Burke B. Peterson are physically situated at the following location: 250 E Broadway, Salt Lake City, UT, 841112418.

What is Burke B. Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Burke B. Peterson's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1366644668 to Burke B. Peterson?

The Centers for Medicare & Medicaid Services originally issued the 1366644668 to Burke B. Peterson on 2007-05-31.

As of what date was the information regarding Burke B. Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Burke B. Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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