Individual provider · Type 1 NPI

Gerald D. Petersen, DDS

General Practice Dentistry · Waukesha, WI

NPI number 1194922575 Active

Practice location

S22 W22660 East Broadway #2B
Waukesha, WI 53186

Call (262) 548-3555 Map

Mailing address

S41W34610 Big Oak Dr
Dousman, WI 53118-9721

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3340 (WI)

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 1194922575

Gerald D. Petersen, DDS's National Provider Identifier is 1194922575, issued on Jun 29, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waukesha, WI. The record was last updated on Jul 8, 2007.