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DR. ANDREW PETERSEN D.D.S NPI 1396883765


NPI Information

NPI: 1396883765
Provider Name: DR. ANDREW PETERSEN, D.D.S
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
7400 S POWER RD STE 136
GILBERT, AZ
ZIP 85297
Phone: (480) 279-3113
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DR. Andrew Petersen, D.D.S is an oral and maxillofacial surgery dentist in Gilbert, AZ. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Andrew Petersen, D.D.S NPI is 1396883765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7400 S POWER RD STE 136
GILBERT, AZ
ZIP 85297-284
Phone: (480) 279-3113
Fax: (480) 279-2741

The enumeration date for this NPI number is 2/1/2007 and was last updated on 12/21/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery7013ARIZONAYes

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: 4/28/2024

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