Individual provider · Type 1 NPI

Tyler D. Peterson, DMD

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1316733082 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Call (860) 679-2000 Map

Mailing address

100 Ryefield Village Dr Unit 163
Bloomfield, CT 06002-1660

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X14388 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316733082

Tyler D. Peterson, DMD's National Provider Identifier is 1316733082, issued on Apr 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jun 6, 2025.