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Dr. Kenneth L Peterson, DMD
General Practice Dentistry in John Day, Oregon
NPI 1053321497

Kenneth L Peterson is a General Practice Dentistry based in John Day, OR and is specialized in General Practice. Kenneth L Peterson practices in John Day, OR and has the professional credentials of DMD. The NPI Number for Kenneth L Peterson is 1053321497 and holds a License No. 3986 (Oregon).

The current practice location address for Kenneth L Peterson is 165 Nw 1St Ave, John Day, OR and can be reached out via phone at 541-575-0363.

Location: 165 Nw 1St Ave, John Day, OR, 97845-1101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053321497
Provider Name
Kenneth L Peterson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
165 Nw 1St Ave, John Day, OR, 97845-1101
Phone Number
541-575-0363
Fax Number
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
165 Nw 1St Ave
City
John Day
State
Oregon
Zip
97845-1101
Phone Number
541-575-0363
Fax Number
person
Provider Business Mailing Address Details
Address
165 Nw 1St Ave
City
John Day
State
Oregon
Zip
97845-1101
Phone Number
541-575-0363
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3986 (Oregon)
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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