Peterson, Katie Dawn
Peterson, Katie Dawn is an sole proprietor health care provider with primary practice located at 920 N Main St , Mountain Grove MO 65711-1315. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Peterson, Katie Dawn can be contacted via phone (417) 926-4910.Contact Information
Primary practice address
920 N Main St
Mountain Grove MO 65711-1315
Phone: (417) 926-4910
Fax: (417) 926-4399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2012015429 | Missouri |
Profile Details
| NPI number | 1033471263 |
|---|---|
| LBN Legal business name | Peterson, Katie Dawn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2012 |
| Last updated | Jun 13th, 2012 - about 14 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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