Daniel W Petersen in Redding - Oral And Maxillofacial Surgery
Daniel W Petersen - NPI 1497817191
Daniel W Petersen is a Oral And Maxillofacial Surgery in Redding, California. Daniel W Petersen practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Daniel W Petersen is 1497817191. The last update date is 2014-12-05.
Daniel W Petersen's current location address is 316 Knollcrest Dr, Redding, California. You can contact this provider via phone number 5302231811 and fax number 5302231813. The mailing address for Daniel W Petersen is 316 Knollcrest Dr, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel W Petersen |
|---|---|
| Address | 316 Knollcrest Dr, Redding, California |
| Phone Number | 5302231811 |
| Fax Number | 5302231813 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1497817191 |
|---|---|
| Provider Enumeration Date | 2006-12-16 |
| Last Updated Date | 2014-12-05 |
Provider Mailing Address Detail
| Address | 316 Knollcrest Dr |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 960020104 |
| Phone Number | 5302231811 |
| Fax Number | 5302231813 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 57031 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identification code assigned to Daniel W Petersen by the Centers for Medicare & Medicaid Services?
The Daniel W Petersen has been issued the NPI (National Provider Identifier) 1497817191, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Daniel W Petersen's physical address?
The Daniel W Petersen is physically located at 316 Knollcrest Dr, in the city of Redding, CA, with the postal code 960020104.
What is Daniel W Petersen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Daniel W Petersen is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
On what date did the Daniel W Petersen receive the assignment of its 1497817191 from the Centers for Medicare & Medicaid Services?
The Daniel W Petersen was issued its 1497817191 by the Centers for Medicare & Medicaid Services on 2006-12-16.
When was the information regarding Daniel W Petersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Daniel W Petersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-12-05.
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