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Gerald D Petersen, DDS
General Practice Dentistry in Waukesha, Wisconsin
NPI 1194922575

Gerald D Petersen is a General Practice Dentistry based in Dousman, WI and is specialized in General Practice. Gerald D Petersen practices in Waukesha, WI and has the professional credentials of DDS. The NPI Number for Gerald D Petersen is 1194922575 and holds a License No. 3340 (Wisconsin).

The current practice location address for Gerald D Petersen is S22 W22660 East Broadway #2B, Waukesha, WI and can be reached out via phone at 262-548-3555.

Location: S22 W22660 East Broadway #2B, Waukesha, WI, 53118-9721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194922575
Provider Name
Gerald D Petersen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
S22 W22660 East Broadway #2B, Waukesha, WI, 53118-9721
Phone Number
262-548-3555
Fax Number
Provider Enumeration Date
06/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
S22 W22660 East Broadway #2B
City
Waukesha
State
Wisconsin
Zip
53186
Phone Number
262-548-3555
Fax Number
person
Provider Business Mailing Address Details
Address
S22 W22660 East Broadway #2B
City
Waukesha
State
Wisconsin
Zip
53186
Phone Number
262-548-3555
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3340 (Wisconsin)
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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