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Gerald D. Petersen, D.d.s., S.c.
General Practice Dentistry in Waukesha, Wisconsin
NPI 1558464891

Gerald D. Petersen, D.d.s., S.c. is a General Practice Dentistry based in Waukesha, WI and is specialized in General Practice. Gerald D. Petersen, D.d.s., S.c. practices in Waukesha, WI. The NPI Number for Gerald D. Petersen, D.d.s., S.c. is 1558464891 and holds a License No. (Wisconsin).

The current practice location address for Gerald D. Petersen, D.d.s., S.c. is S22 W22660 East Broadway, Waukesha, WI and can be reached out via phone at 262-548-3555 and via fax at 262-965-2826.

Location: S22 W22660 East Broadway, Waukesha, WI, 53186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558464891
Provider Name
Gerald D. Petersen, D.d.s., S.c.
Credential
Provider Entity Type
Organization
Address
S22 W22660 East Broadway, Waukesha, WI, 53186
Phone Number
262-548-3555
Fax Number
262-965-2826
Provider Enumeration Date
09/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
S22 W22660 East Broadway
City
Waukesha
State
Wisconsin
Zip
53186
Phone Number
262-548-3555
Fax Number
262-965-2826
person
Provider Business Mailing Address Details
Address
S22 W22660 East Broadway
City
Waukesha
State
Wisconsin
Zip
53186
Phone Number
262-548-3555
Fax Number
262-965-2826
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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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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