National Provider Identifier Database

TREVOR PETERSON, DMD – NPI #1275913329
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

TREVOR PETERSON, DMD
4411 BROWNRIDGE TERRACE
MEDFORD, OR97504
Phone: 541-200-6747
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for TREVOR PETERSON

NPI Number 1275913329
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/04/2015
Last updated 06/04/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • OR License #: D10235
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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