Thomas Rudolph Petersen, DDS

General Practice Dentistry · Stevens Point, WI

Individual Active NPI

NPI number 1437224094

Practice location

1501 Plover St
Stevens Point, WI 54481
Phone
(715) 344-2324

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NPI record

NPI
1437224094
Entity type
Individual (Type 1)
Enumeration date
November 21, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X WI1187G WI

About Dr. Petersen

Thomas Rudolph Petersen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1501 Plover St, Stevens Point, WI 54481. The NPI number 1437224094 was assigned on November 21, 2006 and the record was last updated on July 8, 2007.

Dr. Petersen lists a license in the registry: #WI1187G (WI) 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 Thomas Rudolph Petersen, DDS?

The NPI number is 1437224094.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (715) 344-2324.

Where is Dr. Petersen located?

1501 Plover St, Stevens Point, WI 54481.

What is the taxonomy code for Dr. Petersen?

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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