Jon E Peterson D.D.S. , Apc in San Diego - Periodontics
Jon E Peterson D.D.S. , Apc - NPI 1386736445
Jon E Peterson D.D.S. , Apc is a Periodontics in San Diego, California. Jon E Peterson D.D.S. , Apc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jon E Peterson D.D.S. , Apc is 1386736445. The last update date is 2013-07-16.
Jon E Peterson D.D.S. , Apc's current location address is 4076 3rd Ave Ste 201, San Diego, California. You can contact this provider via phone number 6192982322. The mailing address for Jon E Peterson D.D.S. , Apc is 4076 3rd Ave Ste 201, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jon E Peterson D.D.S. , Apc |
|---|---|
| Address | 4076 3rd Ave Ste 201, San Diego, California |
| Phone Number | 6192982322 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peterson E Jon |
| Credentials | DDS |
| Telephone Number | 6192982322 |
NPI Number Detail
| NPI Number | 1386736445 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2013-07-16 |
Provider Mailing Address Detail
| Address | 4076 3rd Ave Ste 201 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921032129 |
| Phone Number | 6192982322 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 28790 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jon E Peterson D.D.S. , Apc by the Centers for Medicare & Medicaid Services?
The Jon E Peterson D.D.S. , Apc has been issued the NPI (National Provider Identifier) 1386736445, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jon E Peterson D.D.S. , Apc?
The Jon E Peterson D.D.S. , Apc is physically situated at 4076 3Rd Ave Ste 201, in the city of San Diego, state of CA, with the postal code 921032129.
What is Jon E Peterson D.D.S. , Apc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jon E Peterson D.D.S. , Apc is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386736445 to Jon E Peterson D.D.S. , Apc?
The Jon E Peterson D.D.S. , Apc received its 1386736445 assignment from the Centers for Medicare & Medicaid Services on 2006-09-28.
When was the Jon E Peterson D.D.S. , Apc's information last updated?
The Jon E Peterson D.D.S. , Apc's information was last updated on 2013-07-16.
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