Lorin Dean Peterson in Flagstaff - Oral And Maxillofacial Pathology
Lorin Dean Peterson - NPI 1699772061
Lorin Dean Peterson is a Oral And Maxillofacial Pathology in Flagstaff, Arizona. Lorin Dean Peterson practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Lorin Dean Peterson is 1699772061. The last update date is 2007-07-17.
Lorin Dean Peterson's current location address is 77 W Forest Ave, Flagstaff, Arizona. You can contact this provider via phone number 9287732530 and fax number 9287732532. The mailing address for Lorin Dean Peterson is 77 W Forest Ave, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lorin Dean Peterson |
|---|---|
| Address | 77 W Forest Ave, Flagstaff, Arizona |
| Phone Number | 9287732530 |
| Fax Number | 9287732532 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1699772061 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 77 W Forest Ave |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860011482 |
| Phone Number | 9287732530 |
| Fax Number | 9287732532 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 2803 |
|
Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86373 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lorin Dean Peterson by the Centers for Medicare & Medicaid Services?
The Lorin Dean Peterson has been issued the NPI (National Provider Identifier) 1699772061, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lorin Dean Peterson is physically located?
The Lorin Dean Peterson is situated at the following address: 77 W Forest Ave, Flagstaff, AZ 860011482.
What is Lorin Dean Peterson's area of expertise and its corresponding taxonomy classification?
The Lorin Dean Peterson's field of specialization is Oral And Maxillofacial Pathology, and it falls under the taxonomy code 1223P0106X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699772061 to Lorin Dean Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1699772061 to Lorin Dean Peterson on 2005-06-30.
As of what date were the details related to Lorin Dean Peterson most recently updated or revised?
The information pertaining to Lorin Dean Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-17.
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