Individual provider · Type 1 NPI

Taylor Cole Peterson, DDS, MSD

Periodontics · Bozeman, MT

NPI number 1811475239 Active

Practice location

614 S Ferguson Ave Ste 2
Bozeman, MT 59718-6413

Mailing address

1950 N Logan St Apt 310
Denver, CO 80203-1174

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDEN.00203648 (CO)
Periodontics Primary 1223P0300X23613 (MT)

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.

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About NPI 1811475239

Taylor Cole Peterson, DDS, MSD's National Provider Identifier is 1811475239, issued on Jul 30, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Bozeman, MT. The record was last updated on Aug 21, 2023.