Lesilie A Peterson, RDH
Dental Hygienist in Mesa, AZ. Individual provider (NPI-1).
NPI number1457572828
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457572828
- Entity type
- Individual (NPI-1)
- Name
- Lesilie A Peterson
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 1952 | AZ | Yes |
Practice location
1905 E McKellips RdMesa, AZ 85203-2865
Phone 480-649-1949
Mailing address
518 N Danyell DrChandler, AZ 85225-8209
Phone 480-649-1949
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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.
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All 32 Dental Hygienist providers in Mesa · All 13,507 providers in Mesa
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