Peterson, Robert K

Peterson, Robert K is an individual health care provider with primary practice located at 7300 France Ave S #110, Edina MN 55435. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Peterson, Robert K can be contacted via phone (952) 831-0414.

Contact Information

Primary practice address
7300 France Ave S #110 Edina MN 55435
Fax: (952) 831-1116
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8409 Minnesota

Profile Details

NPI number 1669535852
LBN Legal business name Peterson, Robert K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Aug 18th, 2014 - about 12 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 1669535852 NPPES
Minnesota Other 497222800 STATE OF MINNESOTA

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