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TYR R. PETERSON D.D.S. P.C. NPI 1194914218


NPI Information

NPI: 1194914218
Provider Name: TYR R. PETERSON, D.D.S., P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5400 WARD ROAD
BUILDING II, SUITE 100
ARVADA, CO
ZIP 80002
Phone: (303) 424-6483
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TYR R. PETERSON, D.D.S., P.C. is a dental clinic center in Arvada, CO. TYR R. PETERSON, D.D.S., P.C. NPI is 1194914218. The provider is registered as an organization entity type.

The provider's business location address is:

5400 WARD ROAD
BUILDING II, SUITE 100
ARVADA, CO
ZIP 80002-819
Phone: (303) 424-6483

The provider's authorized official is Tyr R. Peterson .
The authorized official title is President and has the following contact phone number (303) 424-6483.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 8/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental7993COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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