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Katie Dawn Peterson, DDS
General Practice Dentistry in Mountain Grove, Missouri
NPI 1033471263

Katie Dawn Peterson is a General Practice Dentistry based in Mountain Grove, MO and is specialized in General Practice. Katie Dawn Peterson practices in Mountain Grove, MO and has the professional credentials of DDS. The NPI Number for Katie Dawn Peterson is 1033471263 and holds a License No. 2012015429 (Missouri).

The current practice location address for Katie Dawn Peterson is 920 N Main St, Mountain Grove, MO and can be reached out via phone at 417-926-4910 and via fax at 417-926-4399.

Location: 920 N Main St, Mountain Grove, MO, 65711-1315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033471263
Provider Name
Katie Dawn Peterson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
920 N Main St, Mountain Grove, MO, 65711-1315
Phone Number
417-926-4910
Fax Number
417-926-4399
Provider Enumeration Date
06/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
920 N Main St
City
Mountain Grove
State
Missouri
Zip
65711-1315
Phone Number
417-926-4910
Fax Number
417-926-4399
person
Provider Business Mailing Address Details
Address
920 N Main St
City
Mountain Grove
State
Missouri
Zip
65711-1315
Phone Number
417-926-4910
Fax Number
417-926-4399
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2012015429 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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