Gerald D. Petersen, D.D.S., S.C. in Waukesha - General Practice
Gerald D. Petersen, D.D.S., S.C. - NPI 1558464891
Gerald D. Petersen, D.D.S., S.C. is a General Practice in Waukesha, Wisconsin. Gerald D. Petersen, D.D.S., S.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gerald D. Petersen, D.D.S., S.C. is 1558464891. The last update date is 2020-08-22.
Gerald D. Petersen, D.D.S., S.C.'s current location address is S22 W22660 East Broadway, Waukesha, Wisconsin. You can contact this provider via phone number 2625483555 and fax number 2629652826. The mailing address for Gerald D. Petersen, D.D.S., S.C. is S22 W22660 East Broadway, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Gerald D. Petersen, D.D.S., S.C. |
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Address | S22 W22660 East Broadway, Waukesha, Wisconsin |
Phone Number | 2625483555 |
Fax Number | 2629652826 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICER |
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Authorized Official Name | Petersen D. Gerald |
Credentials | D.D.S. |
Telephone Number | 2625483555 |
NPI Number Detail
NPI Number | 1558464891 |
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Provider Enumeration Date | 2006-09-05 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | S22 W22660 East Broadway |
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City | Waukesha |
State | Wisconsin (WI) |
Post Code | 53186 |
Phone Number | 2625483555 |
Fax Number | 2629652826 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
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 Gerald D. Petersen, D.D.S., S.C.'s unique identification number?
The Gerald D. Petersen, D.D.S., S.C. has been assigned the NPI (National Provider Identifier) Number 1558464891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Gerald D. Petersen, D.D.S., S.C. located?
The Gerald D. Petersen, D.D.S., S.C. is located at S22 W22660 East Broadway, Waukesha, WI 53186.
What is the Gerald D. Petersen, D.D.S., S.C.'s specialty and taxonomy code?
The Gerald D. Petersen, D.D.S., S.C.'s specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Gerald D. Petersen, D.D.S., S.C. receive the assignment of its 1558464891 from the Centers for Medicare & Medicaid Services?
The Gerald D. Petersen, D.D.S., S.C. was issued its 1558464891 by the Centers for Medicare & Medicaid Services on 2006-09-05.
When was the Gerald D. Petersen, D.D.S., S.C.'s information last updated?
The Gerald D. Petersen, D.D.S., S.C.'s information was last updated on 2020-08-22.