Peterson, Brandon Keith

Peterson, Brandon Keith is an individual health care provider with primary practice located at 6600 Westown Pkwy Suite 170, West Des Moines IA 50266-7707. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Peterson, Brandon Keith can be contacted via phone (515) 223-9700.

Contact Information

Primary practice address
6600 Westown Pkwy Suite 170 West Des Moines IA 50266-7707
Phone: (515) 223-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019027419 Illinois
Dental Providers / Periodontics 1223P0300X DDS-08288 Iowa

Profile Details

NPI number 1700864543
LBN Legal business name Peterson, Brandon Keith
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated May 10th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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