Active NPIIndividual provider

Dr. Douglas A Peterson, DDS

Dentist, General Practice in Lincroft, New Jersey

NPI Number1609083856
Practice location
9 Middletown Lincroft RD, Lincroft, NJ 07738-1511
Fax
732-842-8608
Last updated
July 8, 2007

Douglas A Peterson is a Dentist, General Practice based in Lincroft, NJ. Douglas A Peterson practices in Lincroft, NJ and has the professional credentials of DDS. The NPI Number for Douglas A Peterson is 1609083856 and holds a License No. 22D102109600 (NJ). The current practice location address for Douglas A Peterson is 9 Middletown Lincroft RD, Lincroft, NJ 07738-1511 and can be reached out via phone at 732-842-5005 and via fax at 732-842-8608.

Provider Profile Details

NPI Number
1609083856
Provider Name
Douglas A Peterson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
9 Middletown Lincroft RD, Lincroft, NJ 07738-1511
Phone Number
732-842-5005
Fax Number
732-842-8608
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Middletown Lincroft RD
Lincroft, NJ 07738-1511
Zip
07738-1511
Phone Number
732-842-5005
Fax Number
732-842-8608
Lincroft, NJ 07738Get directions →

Provider Business Mailing Address Details

Address
9 Middletown Lincroft RD
Lincroft, NJ 07738-1511
City
Lincroft
State
NJ
Zip
07738-1511
Phone Number
732-842-5005
Fax Number
732-842-8608

License Information

License Number
22D102109600
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Douglas A Peterson, DDS?

The NPI number of Dr. Douglas A Peterson, DDS is 1609083856. It was assigned on May 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Douglas A Peterson, DDS?

Dr. Douglas A Peterson, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22D102109600.

Where does Dr. Douglas A Peterson, DDS practice?

The practice location is 9 Middletown Lincroft RD, Lincroft, NJ 07738-1511. The office can be reached at 732-842-5005 (phone) or 732-842-8608 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609083856 directly on the NPPES registry website.

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