Individual provider · Type 1 NPI
Mark A. Peterson, DMD
General Practice Dentistry · Sebastian, FL
NPI number
1073608170
Active
Practice location
7740 Bay St, Suite # 1
Sebastian, FL 32958-3427
Fax (722) 388-0250
Mailing address
4280 Berry Rd
Grant, FL 32949-5323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DN0011508 (FL) |
General Practice Dentistry: 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.
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About NPI 1073608170
Mark A. Peterson, DMD's National Provider Identifier is 1073608170, issued on Oct 4, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sebastian, FL. The record was last updated on Jul 9, 2007.