Andrew M Petersen, DDS, LLC
Dentist, General Practice in Phoenix, AZ. Organization (NPI-2).
NPI number1114189883
StatusActive
Last updated in NPPESJun 25, 2008
Details
- NPI
- 1114189883
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrew M Petersen, DDS, LLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2008
- Last updated
- Jun 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7013 | AZ | Yes |
Practice location
4802 E Ray RdSuite #19
Phoenix, AZ 85044-6405
Phone 480-893-7733
Mailing address
4802 E Ray RdSuite #19
Phoenix, AZ 85044-6405
Phone 480-893-7733
Authorized official
Andrew Marvin Petersen
Owner
4808937733
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Phoenix, AZ
- 7 To 7 Family Dental PLLCNPI 1245621895
- Aaa Dental Care PCNPI 1457478299
- Aar Acquisitions LLCNPI 1508299512
- Mark AbzugNPI 1871648543
- Adel Shayegan Dmd PCNPI 1801008248
- Advanced Dental Health P.C.NPI 1285844522
- Advanced Smiles Center LLCNPI 1376493767
- Basma T. Adwan, DDSNPI 1639151566
- Aesthetic Family Dentistry PCNPI 1518105691
- Affordable Dentures & Implants - North Phoenix II, P.C.NPI 1528840824
All 741 General Practice Dentistry providers in Phoenix · All 44,202 providers in Phoenix
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.