Individual provider · Type 1 NPI
Stephen W. Peterson, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Manistee, MI
Practice location
206 Cypress St
Manistee, MI 49660-1700
Fax (231) 723-2736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 013694 (MI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1164538021
Stephen W. Peterson, DDS, M.S.'s National Provider Identifier is 1164538021, issued on Aug 22, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Manistee, MI. The record was last updated on Jul 8, 2007.