Individual provider · Type 1 NPI

Courtney Peterson, DMD

Pediatric Dentistry · Buffalo, NY

NPI number 1649658691 Active

Practice location

462 Grider St
Buffalo, NY 14215-3021

Call (716) 898-1736 Map

Mailing address

908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X058555 (NY)
Pediatric Dentistry Primary 1223P0221X058555 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1649658691

Courtney Peterson, DMD's National Provider Identifier is 1649658691, issued on May 11, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Buffalo, NY. The record was last updated on Jul 9, 2019.