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Dr. Joshua Petersen
General Practice Dentistry in Rapid City, South Dakota
NPI 1508424680

Joshua Petersen is a General Practice Dentistry based in Rapid City, SD and is specialized in General Practice. Joshua Petersen practices in Rapid City, SD. The NPI Number for Joshua Petersen is 1508424680 and holds a License No. D1231 (South Dakota).

The current practice location address for Joshua Petersen is 1687 Tablerock Rd, Rapid City, SD and can be reached out via phone at 605-342-6652.

Location: 1687 Tablerock Rd, Rapid City, SD, 57701-5495
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508424680
Provider Name
Joshua Petersen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1687 Tablerock Rd, Rapid City, SD, 57701-5495
Phone Number
605-342-6652
Fax Number
Provider Enumeration Date
06/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D1231 01 SD LICENSE
institution
Provider Business Practice Location Address Details
Address
1687 Tablerock Rd
City
Rapid City
State
South Dakota
Zip
57701-5495
Phone Number
605-342-6652
Fax Number
person
Provider Business Mailing Address Details
Address
1687 Tablerock Rd
City
Rapid City
State
South Dakota
Zip
57701-5495
Phone Number
605-342-6652
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D1231 (South Dakota)
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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