Gwendolyn Peterson in Flower Mound - Dental Hygienist
Gwendolyn Peterson - NPI 1114149945
Gwendolyn Peterson is a Dental Hygienist in Flower Mound, Texas. Gwendolyn Peterson practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Gwendolyn Peterson is 1114149945. The last update date is 2007-07-08.
Gwendolyn Peterson's current location address is 1900 Long Prairie Rd, Flower Mound, Texas. You can contact this provider via phone number 9728747870. The mailing address for Gwendolyn Peterson is 1900 Long Prairie Rd, Flower Mound, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwendolyn Peterson |
|---|---|
| Address | 1900 Long Prairie Rd, Flower Mound, Texas |
| Phone Number | 9728747870 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114149945 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1900 Long Prairie Rd |
|---|---|
| City | Flower Mound |
| State | Texas (TX) |
| Post Code | 750224217 |
| Phone Number | 9728747870 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 12214 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the unique 10-digit identifier code assigned to Gwendolyn Peterson by the Centers for Medicare & Medicaid Services?
The Gwendolyn Peterson has been issued the NPI (National Provider Identifier) 1114149945 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gwendolyn Peterson?
The Gwendolyn Peterson is situated at 1900 Long Prairie Rd, in the city of Flower Mound, state of TX, with the zip code 750224217.
What is Gwendolyn Peterson's area of expertise and its corresponding taxonomy classification?
The Gwendolyn Peterson's field of specialization is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Gwendolyn Peterson receive the assignment of its 1114149945 from the Centers for Medicare & Medicaid Services?
The Gwendolyn Peterson was issued its 1114149945 by the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date were the Gwendolyn Peterson's details last updated?
The information pertaining to the Gwendolyn Peterson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
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