Benjamin Robert Peterson, DDS

General Practice Dentistry · Waterloo, IA

Individual Active NPI

NPI number 1801052915

Practice location

424 South St.
Waterloo, IA 50701
Phone
(319) 234-2684
Fax
(319) 233-5974

Open in Google Maps

NPI record

NPI
1801052915
Entity type
Individual (Type 1)
Enumeration date
July 29, 2008
Last updated
October 4, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 08702 IA
General Practice Dentistry 1223G0001X D12600 MN
Dentist 122300000X D12600 MN

About Dr. Peterson

Benjamin Robert Peterson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 424 South St., Waterloo, IA 50701. The NPI number 1801052915 was assigned on July 29, 2008 and the record was last updated on October 4, 2010.

Dr. Peterson lists 3 licenses in the registry: #08702 (IA) for General Practice Dentistry; #D12600 (MN) for General Practice Dentistry; #D12600 (MN) 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 Benjamin Robert Peterson, DDS?

The NPI number is 1801052915.

What is the phone number of Dr. Peterson?

The phone number listed for the practice location is (319) 234-2684.

Where is Dr. Peterson located?

424 South St., Waterloo, IA 50701.

What is the taxonomy code for Dr. Peterson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.

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.

Other General Practice Dentistry providers in Waterloo

All General Practice Dentistry providers in Waterloo, IA →