Shawn Ray Petersen, D.D.S

Dentist · Atlantic, IA

Individual Active NPI

NPI number 1437363058

Practice location

1501 E 10TH St
Atlantic, IA 50022-1936
Phone
(712) 243-1833
Fax
(712) 243-7552

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NPI record

NPI
1437363058
Entity type
Individual (Type 1)
Enumeration date
May 10, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 08027 IA

About Dr. Petersen

Shawn Ray Petersen, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1501 E 10TH St, Atlantic, IA 50022-1936. The NPI number 1437363058 was assigned on May 10, 2007 and the record was last updated on July 8, 2007.

Dr. Petersen lists a license in the registry: #08027 (IA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shawn Ray Petersen, D.D.S?

The NPI number is 1437363058.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (712) 243-1833.

Where is Dr. Petersen located?

1501 E 10TH St, Atlantic, IA 50022-1936.

What is the taxonomy code for Dr. Petersen?

The primary taxonomy code is 122300000X – Dentist.

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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