Thomas John Peterson in Valders - General Practice
Thomas John Peterson - NPI 1851492573
Thomas John Peterson is a General Practice in Valders, Wisconsin. Thomas John Peterson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas John Peterson is 1851492573. The last update date is 2007-07-08.
Thomas John Peterson's current location address is 519 Christel Dr., Valders, Wisconsin. You can contact this provider via phone number 9207754531 and fax number 9207754180. The mailing address for Thomas John Peterson is 519 Christel Dr., Valders, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas John Peterson |
|---|---|
| Address | 519 Christel Dr., Valders, Wisconsin |
| Phone Number | 9207754531 |
| Fax Number | 9207754180 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1851492573 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 519 Christel Dr. |
|---|---|
| City | Valders |
| State | Wisconsin (WI) |
| Post Code | 54245 |
| Phone Number | 9207754531 |
| Fax Number | 9207754180 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3128015 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33456300 | WI | -- | |
| 3128015 | WI | STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Thomas John Peterson by the Centers for Medicare & Medicaid Services?
The Thomas John Peterson has been assigned the NPI (National Provider Identifier) 1851492573. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Thomas John Peterson?
The Thomas John Peterson is situated at 519 Christel Dr., in the city of Valders, state of WI, with the zip code 54245.
What is the Thomas John Peterson's specialty and taxonomy code?
The Thomas John Peterson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851492573 to Thomas John Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1851492573 to Thomas John Peterson on 2006-09-26.
As of what date was the information pertaining to Thomas John Peterson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Thomas John Peterson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.