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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Dental Assistant |
126800000X | |||
Dental Hygienist |
124Q00000X |
| NPI Number | 1396856100 |
||||
| LBN Legal business name | PETERSON DENTAL ASSOCIATES, P.A. | ||||
| Authorized official | RUSSELL PETERSON - (PRESIDENT OF CORP) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/31/2006 | ||||
| Last updated | 06/17/2014 - About 12 years ago | ||||
| Identifiers |
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PETERSON DENTAL ASSOCIATES, P.A.