Mark B. Peterson in Sacramento - Prosthodontics

Mark B. Peterson - NPI 1356326706

Mark B. Peterson is a Prosthodontics in Sacramento, California. Mark B. Peterson practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Mark B. Peterson is 1356326706. The last update date is 2007-07-08.

Mark B. Peterson's current location address is 2521 Stockton Blvd, Sacramento, California. You can contact this provider via phone number 9167345408 and fax number 9167341299. The mailing address for Mark B. Peterson is 2521 Stockton Blvd, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark B. Peterson
Address 2521 Stockton Blvd, Sacramento, California
Phone Number 9167345408
Fax Number 9167341299
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1356326706
Provider Enumeration Date 2005-12-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2521 Stockton Blvd
City Sacramento
State California (CA)
Post Code 958172207
Phone Number 9167345408
Fax Number 9167341299

Provider's Primary Taxonomy Detail

Speciality Prosthodontics
Taxonomy 1223P0700X
Licence No 23361
Definition:
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial

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FAQs about Mark B. Peterson

What is the unique provider identifier assigned to Mark B. Peterson?

The Mark B. Peterson has been issued the NPI (National Provider Identifier) 1356326706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Mark B. Peterson?

The Mark B. Peterson is physically situated at 2521 Stockton Blvd, in the city of Sacramento, state of CA, with the postal code 958172207.

What is the Mark B. Peterson's specialty and taxonomy code?

The Mark B. Peterson's specialty is Prosthodontics, and the corresponding taxonomy code is 1223P0700X.

On what date was the 1356326706 assigned to Mark B. Peterson?

The Mark B. Peterson was issued its 1356326706 on 2005-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Mark B. Peterson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark B. Peterson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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