Individual provider · Type 1 NPI

Steven D. Peterson, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Madison, WI

NPI number 1164599791 Active

Practice location

202 S Gammon Rd, Ste. 150
Madison, WI 53717-1400

Fax (608) 664-9566

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	3613-015 (WI)

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…

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About NPI 1164599791

Steven D. Peterson, DDS, M.S.'s National Provider Identifier is 1164599791, issued on Nov 29, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Madison, WI. The record was last updated on Jul 8, 2007.