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Dr. Thomas Rudolph Petersen, DDS
General Practice Dentistry in Stevens Point, Wisconsin
NPI 1437224094

Thomas Rudolph Petersen is a General Practice Dentistry based in Stevens Point, WI and is specialized in General Practice. Thomas Rudolph Petersen practices in Stevens Point, WI and has the professional credentials of DDS. The NPI Number for Thomas Rudolph Petersen is 1437224094 and holds a License No. WI1187G (Wisconsin).

The current practice location address for Thomas Rudolph Petersen is 1501 Plover St, Stevens Point, WI and can be reached out via phone at 715-344-2324.

Location: 1501 Plover St, Stevens Point, WI, 54481
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437224094
Provider Name
Thomas Rudolph Petersen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1501 Plover St, Stevens Point, WI, 54481
Phone Number
715-344-2324
Fax Number
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33564600 05 WI
institution
Provider Business Practice Location Address Details
Address
1501 Plover St
City
Stevens Point
State
Wisconsin
Zip
54481
Phone Number
715-344-2324
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Plover St
City
Stevens Point
State
Wisconsin
Zip
54481
Phone Number
715-344-2324
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
WI1187G (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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