RONALD M. PETERSON DDS PC NPI 1265654016

NPI Information

RONALD M. PETERSON, DDS, PC is a general practice dentist in Fargo, ND. The provider is 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. RONALD M. PETERSON, DDS, PC NPI is 1265654016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3226 13TH AVE S
FARGO, ND
ZIP 58103-403
Phone: (701) 232-3379
Fax: (701) 298-0879

The provider's authorized official is Ronald Mark Peterson .
The authorized official title is President and has the following contact phone number (701) 232-3379.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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