Gordon Charles Peterson, D.D.S.

General Practice Dentistry · Cedar Rapids, IA

Individual Active NPI

NPI number 1902073174

Practice location

2701 1st Ave SE
Cedar Rapids, IA 52402-4834
Phone
(319) 364-5561
Fax
(319) 364-1717

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NPI record

NPI
1902073174
Entity type
Individual (Type 1)
Enumeration date
May 15, 2008
Last updated
May 15, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6573 IA

About Dr. Peterson

Gordon Charles Peterson, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2701 1st Ave SE, Cedar Rapids, IA 52402-4834. The NPI number 1902073174 was assigned on May 15, 2008 and the record was last updated on May 15, 2008.

Dr. Peterson lists a license in the registry: #6573 (IA) 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 Gordon Charles Peterson, D.D.S.?

The NPI number is 1902073174.

What is the phone number of Dr. Peterson?

The phone number listed for the practice location is (319) 364-5561.

Where is Dr. Peterson located?

2701 1st Ave SE, Cedar Rapids, IA 52402-4834.

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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