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:
Health care specialties
| Specialty | Code | License # | 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 10 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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