Peterson, Stephan L
Peterson, Stephan L is an individual health care provider with primary practice located at 240 Locust St , Dover NH 03820. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peterson, Stephan L can be contacted via phone (603) 742-6546.Contact Information
Primary practice address
240 Locust St
Dover NH 03820
Phone: (603) 742-6546
Fax: (603) 742-7043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1725 | New Hampshire |
Profile Details
| NPI number | 1225197841 |
|---|---|
| LBN Legal business name | Peterson, Stephan L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | May 16th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225197841 | NPPES |
| Other | 0202034Y0NH01 | FED BC BS | |
| MEDICAID | 89192034 | FED BC BS | |
| Other | 139950000 | FED BC BS |
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