Alan Mark Petersen in Mesa - Orthodontics And Dentofacial Orthopedics
Alan Mark Petersen - NPI 1952585507
Alan Mark Petersen is a Orthodontics And Dentofacial Orthopedics in Mesa, Arizona. Alan Mark Petersen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Alan Mark Petersen is 1952585507. The last update date is 2007-12-18.
Alan Mark Petersen's current location address is 6755 E Superstition Springs Blvd Ste 201, Mesa, Arizona. You can contact this provider via phone number 4809242880. The mailing address for Alan Mark Petersen is 6755 E Superstition Springs Blvd Ste 201, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan Mark Petersen |
|---|---|
| Address | 6755 E Superstition Springs Blvd Ste 201, Mesa, Arizona |
| Phone Number | 4809242880 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1952585507 |
|---|---|
| Provider Enumeration Date | 2007-12-18 |
| Last Updated Date | 2007-12-18 |
Provider Mailing Address Detail
| Address | 6755 E Superstition Springs Blvd Ste 201 |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852064374 |
| Phone Number | 4809242880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D7436 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique identifier code issued to Alan Mark Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Alan Mark Petersen has been assigned the NPI (National Provider Identifier) 1952585507. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Alan Mark Petersen?
The Alan Mark Petersen is situated at 6755 E Superstition Springs Blvd Ste 201, in the city of Mesa, state of AZ, with the zip code 852064374.
What is Alan Mark Petersen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Alan Mark Petersen is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952585507 to Alan Mark Petersen?
The Centers for Medicare & Medicaid Services originally issued the 1952585507 to Alan Mark Petersen on 2007-12-18.
When was the information related to Alan Mark Petersen most recently updated or refreshed?
The details pertaining to the Alan Mark Petersen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-18.
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