Andrew Petersen in Gilbert - Oral And Maxillofacial Surgery
Andrew Petersen - NPI 1396883765
Andrew Petersen is a Oral And Maxillofacial Surgery in Gilbert, Arizona. Andrew Petersen practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Andrew Petersen is 1396883765. The last update date is 2017-12-21.
Andrew Petersen's current location address is 4464 S Cobblestone St, Gilbert, Arizona. You can contact this provider via phone number 4807517471. The mailing address for Andrew Petersen is 4464 S Cobblestone St, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Petersen |
|---|---|
| Address | 4464 S Cobblestone St, Gilbert, Arizona |
| Phone Number | 4807517471 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1396883765 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2017-12-21 |
Provider Mailing Address Detail
| Address | 4464 S Cobblestone St |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852974588 |
| Phone Number | 4807517471 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 7013 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Andrew Petersen by the Centers for Medicare & Medicaid Services?
The Andrew Petersen has been assigned the NPI (National Provider Identifier) 1396883765. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Andrew Petersen's facilities are situated?
The facilities of Andrew Petersen are physically located at the following address: 4464 S Cobblestone St, Gilbert, AZ, 852974588.
What is the Andrew Petersen's specialty and taxonomy code?
The Andrew Petersen's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Andrew Petersen receive the assignment of its 1396883765 from the Centers for Medicare & Medicaid Services?
The Andrew Petersen was issued its 1396883765 by the Centers for Medicare & Medicaid Services on 2007-02-01.
As of what date were the details related to Andrew Petersen most recently updated or revised?
The information pertaining to Andrew Petersen, including its address, specialty, and other relevant details, was last updated or revised on 2017-12-21.