Mark Clayton Peterson in Henderson - Pediatric Dentistry

Mark Clayton Peterson - NPI 1871702076

Mark Clayton Peterson is a Pediatric Dentistry in Henderson, Nevada. Mark Clayton Peterson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mark Clayton Peterson is 1871702076. The last update date is 2007-07-08.

Mark Clayton Peterson's current location address is 1600 W Sunset Rd Ste B, Henderson, Nevada. You can contact this provider via phone number 7027338341 and fax number 7027332115. The mailing address for Mark Clayton Peterson is 1600 W Sunset Rd Ste B, Henderson, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Clayton Peterson
Address 1600 W Sunset Rd Ste B, Henderson, Nevada
Phone Number 7027338341
Fax Number 7027332115
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1871702076
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1600 W Sunset Rd Ste B
City Henderson
State Nevada (NV)
Post Code 890142655
Phone Number 7027338341
Fax Number 7027332115

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No S6-12
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Mark Clayton Peterson

What is the unique 10-digit identification code assigned to Mark Clayton Peterson by the Centers for Medicare & Medicaid Services?

The Mark Clayton Peterson has been issued the NPI (National Provider Identifier) 1871702076, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mark Clayton Peterson's facilities are geographically located?

The facilities of Mark Clayton Peterson are physically situated at the following location: 1600 W Sunset Rd Ste B, Henderson, NV, 890142655.

What is Mark Clayton Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark Clayton Peterson's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services issue the 1871702076 to Mark Clayton Peterson?

The Mark Clayton Peterson received its 1871702076 assignment from the Centers for Medicare & Medicaid Services on 2007-05-22.

As of what date was the information regarding Mark Clayton Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark Clayton Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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