Individual provider · Type 1 NPI

Scott T. Peterson, D.M.D. M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Laveen, AZ

NPI number 1619413093 Active

Practice location

5235 W Baseline Rd, #187
Laveen, AZ 85339-3122

Mailing address

4216 S Mariposa Dr
Gilbert, AZ 85297-5224

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD009577 (AZ)

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…

About NPI 1619413093

Scott T. Peterson, D.M.D. M.S.'s National Provider Identifier is 1619413093, issued on Jan 10, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Laveen, AZ. The record was last updated on Jan 10, 2017.