Mark A. Peterson, D.M.D.

General Practice Dentistry · Sebastian, FL

Individual Active NPI

NPI number 1073608170

Practice location

7740 Bay St
Suite # 1
Sebastian, FL 32958-3427
Phone
(772) 388-3119
Fax
(722) 388-0250

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NPI record

NPI
1073608170
Entity type
Individual (Type 1)
Enumeration date
October 4, 2006
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN0011508 FL

Mailing address

4280 Berry Rd
Grant, FL 32949-5323
Phone
(321) 722-9474

About Dr. Peterson

Mark A. Peterson, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 7740 Bay St, Suite # 1, Sebastian, FL 32958-3427. The NPI number 1073608170 was assigned on October 4, 2006 and the record was last updated on July 9, 2007.

Dr. Peterson lists a license in the registry: #DN0011508 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark A. Peterson, D.M.D.?

The NPI number is 1073608170.

What is the phone number of Dr. Peterson?

The phone number listed for the practice location is (772) 388-3119.

Where is Dr. Peterson located?

7740 Bay St, Suite # 1, Sebastian, FL 32958-3427.

What is the taxonomy code for Dr. Peterson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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