LORIN DEAN PETERSON DMD NPI 1699772061

NPI Information

NPI: 1699772061
Provider Name: LORIN DEAN PETERSON, DMD
Classification: Dentist - 1223P0106X
Entity Type: Individual

Specialization: Oral and Maxillofacial Pathology

Address:
77 W FOREST AVE
STE 107
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2530
Get Directions

Lorin Dean Peterson, DMD is an oral and maxillofacial pathology dentist in Flagstaff, AZ. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. Lorin Dean Peterson, DMD NPI is 1699772061. 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:

77 W FOREST AVE
STE 107
FLAGSTAFF, AZ
ZIP 86001-482
Phone: (928) 773-2530
Fax: (928) 773-2532

The enumeration date for this NPI number is 6/30/2005 and was last updated on 7/17/2007.

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
1	1223P0106X	Dentist	Oral and Maxillofacial Pathology	2803	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	086373	MEDICAID	ARIZONA
2	ZWMBSR	MEDICARE ID-TYPE UNSPECIFIED

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

NPI Synchronization or Removal

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