Individual provider · Type 1 NPI

Eric Peterson, DDS MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Flagstaff, AZ

NPI number 1689832628 Active

Practice location

710 N Beaver St Bldg 4
Flagstaff, AZ 86001-3139

Call (928) 774-2745 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD6362 (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…

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About NPI 1689832628

Eric Peterson, DDS MSD's National Provider Identifier is 1689832628, issued on May 27, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Flagstaff, AZ. The record was last updated on May 27, 2008.