Peterson, Gary R

Peterson, Gary R is an individual health care provider with primary practice located at 258 Main St Suite C 1, Buzzards Bay MA 02532-3222. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Peterson, Gary R can be contacted via phone (508) 759-2721.

Contact Information

Primary practice address
258 Main St Suite C 1 Buzzards Bay MA 02532-3222
Phone: (508) 759-2721
Fax: (508) 759-6216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14376 Massachusetts

Profile Details

NPI number 1437348109
LBN Legal business name Peterson, Gary R
Credentials DMD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2007
Last updated Oct 18th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437348109 NPPES
Massachusetts Other 38-768 HARVARD PILGRIM HTHCARE
Massachusetts Other 441 HARVARD PILGRIM HTHCARE
Massachusetts Other X11460 HARVARD PILGRIM HTHCARE
Massachusetts Other 711889 HARVARD PILGRIM HTHCARE

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