Individual provider · Type 1 NPI
Peter J. M. Peterson, DMD
Periodontics · Simsbury, CT
NPI number
1508959099
Active
Practice location
625 Hopmeadow St.
Simsbury, CT 06070
Fax (860) 651-8569
Mailing address
215 Ballard Dr,
West Hartford, CT 06119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 7255 (CT) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Simsbury
About NPI 1508959099
Peter J. M. Peterson, DMD's National Provider Identifier is 1508959099, issued on Oct 2, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Simsbury, CT. The record was last updated on Jul 8, 2007.