Edwin Roy Peterson, DDS
Dentist · Nevada, MO
Practice location
629 S Main StNevada, MO 64772-3555
- Phone
- (417) 667-3134
NPI record
- NPI
- 1922012061
- Entity type
- Individual (Type 1)
- Enumeration date
- July 27, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
12736 | MO |
About Dr. Peterson
Edwin Roy Peterson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 629 S Main St, Nevada, MO 64772-3555. The NPI number 1922012061 was assigned on July 27, 2006 and the record was last updated on July 8, 2007.
Dr. Peterson lists a license in the registry: #12736 (MO) 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 Edwin Roy Peterson, DDS?
The NPI number is 1922012061.
What is the phone number of Dr. Peterson?
The phone number listed for the practice location is (417) 667-3134.
Where is Dr. Peterson located?
629 S Main St, Nevada, MO 64772-3555.
What is the taxonomy code for Dr. Peterson?
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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