Gerald D. Petersen, D.D.S., S.C.

LBN: Gerald D. Petersen, D.D.S., S.C.
Gerald D. Petersen, D.D.S., S.C. is an health care organization with primary practice located at S22 W22660 East Broadway Ste 2B, Waukesha WI 53186. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Gerald D. Petersen, D.D.S., S.C. can be contacted via phone (262) 548-3555, or through Petersen, Gerald D. via phone (262) 548-3555.

Contact Information

Primary practice address
S22 W22660 East Broadway Ste 2B Waukesha WI 53186
Phone: (262) 548-3555
Fax: (262) 965-2826
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Gerald D. Doctor of Dental Surgery (DDS)
Phone: (262) 548-3555

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1558464891
LBN Legal business name Gerald D. Petersen, D.D.S., S.C.
DBA Doing business as
Authorized official Petersen, Gerald D. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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