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PETERSON DENTAL LLC NPI 1811366198


NPI Information

NPI: 1811366198
Provider Name: PETERSON DENTAL, LLC

Doing Business As: PETERSON DENTAL

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
1101 HIGROVE PKWY
SUITE 105
LEEDS, AL
ZIP 35094
Phone: (205) 699-1155
Get Directions

PETERSON DENTAL, LLC is a dentist in Leeds, AL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. PETERSON DENTAL, LLC NPI is 1811366198. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peterson Dental.

The provider's business location address is:

1101 HIGROVE PKWY
SUITE 105
LEEDS, AL
ZIP 35094-703
Phone: (205) 699-1155
Fax: (205) 699-1159

The provider's authorized official is Nicole Peterson .
The authorized official title is Cfo and has the following contact phone number (205) 699-1155.

The enumeration date for this NPI number is 9/17/2015 and was last updated on 9/17/2015.


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
1122300000XDentist5696ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11102337492OTHERCIGNA GEHA PROVIDER #
2511-11930OTHERALABAMABCBS PROVIDER #
32586372OTHERALABAMAUNITED CONCORDIA PROVIDER #

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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