Individual provider · Type 1 NPI
Andrew Petersen, D.D.S
Oral and Maxillofacial Surgery (Dentist) · Gilbert, AZ
Practice location
7400 S Power Rd Ste 136
Gilbert, AZ 85297-9284
Fax (480) 279-2741
Mailing address
4464 S Cobblestone St
Gilbert, AZ 85297-4588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7013 (AZ) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
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About NPI 1396883765
Andrew Petersen, D.D.S's National Provider Identifier is 1396883765, issued on Feb 1, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gilbert, AZ. The record was last updated on Dec 21, 2017.