Peterson Family Dental, Pc

LBN: Peterson Family Dental, Pc
Peterson Family Dental, Pc is an health care organization with primary practice located at 932 42Nd St , Des Moines IA 50312-2626. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Peterson Family Dental, Pc can be contacted via phone (515) 277-3551, or through Peterson, Benjamin Robert via phone (319) 331-6351.

Contact Information

Primary practice address
932 42Nd St Des Moines IA 50312-2626
Phone: (515) 277-3551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Benjamin Robert Doctor of Dental Surgery (DDS)
Phone: (319) 331-6351

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 08702 Iowa

Profile Details

NPI number 1437533569
LBN Legal business name Peterson Family Dental, Pc
DBA Doing business as
Authorized official Peterson, Benjamin Robert Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2015
Last updated Jul 18th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437533569 NPPES
Iowa Other 08702 IOWA DENTAL BOARD

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