Steven D. Peterson in Madison - Orthodontics And Dentofacial Orthopedics

Steven D. Peterson - NPI 1164599791

Steven D. Peterson is a Orthodontics And Dentofacial Orthopedics in Madison, Wisconsin. Steven D. Peterson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Steven D. Peterson is 1164599791. The last update date is 2007-07-08.

Steven D. Peterson's current location address is 202 S Gammon Rd, Madison, Wisconsin. You can contact this provider via phone number 6086649500 and fax number 6086649566. The mailing address for Steven D. Peterson is 202 S Gammon Rd, Madison, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven D. Peterson
Address 202 S Gammon Rd, Madison, Wisconsin
Phone Number 6086649500
Fax Number 6086649566
Sole Proprietor N
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1164599791
Provider Enumeration Date 2006-11-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 202 S Gammon Rd
City Madison
State Wisconsin (WI)
Post Code 537171400
Phone Number 6086649500
Fax Number 6086649566

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 3613-015
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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FAQs about Steven D. Peterson

What is the unique 10-digit identification code issued to Steven D. Peterson by the Centers for Medicare & Medicaid Services?

The Steven D. Peterson has been assigned the NPI (National Provider Identifier) 1164599791 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Steven D. Peterson?

The Steven D. Peterson is situated at 202 S Gammon Rd, in the city of Madison, state of WI, with the zip code 537171400.

What is Steven D. Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Steven D. Peterson is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.

On what date did Steven D. Peterson receive its 1164599791 assignment from the Centers for Medicare & Medicaid Services?

The Steven D. Peterson was assigned its 1164599791 on 2006-11-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Steven D. Peterson last refreshed?

The information related to the Steven D. Peterson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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