Dr. Bruce V Pettersen, DDS
Dentist, General Practice in Hanover, Massachusetts
1649474677- Practice location
- 171 Rockland St, Hanover, MA 02339-2222
- Phone
- 781-826-8331
- Fax
- —
- Last updated
- July 8, 2007
Bruce Victor Pettersen is a Dentist, General Practice based in Hanover, MA. Bruce Victor Pettersen practices in Hanover, MA and has the professional credentials of DDS. The NPI Number for Bruce Victor Pettersen is 1649474677 and holds a License No. 12528 (MA). The current practice location address for Bruce Victor Pettersen is 171 Rockland St, Hanover, MA 02339-2222 and can be reached out via phone at 781-826-8331.
Provider Profile Details
- NPI Number
- 1649474677
- Provider Name
- Bruce Victor Pettersen
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 171 Rockland St, Hanover, MA 02339-2222
- Phone Number
- 781-826-8331
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 13, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 171 Rockland St
Hanover, MA 02339-2222 - City
- Hanover
- State
- Massachusetts
- Zip
- 02339-2222
- Phone Number
- 781-826-8331
Provider Business Mailing Address Details
- Address
- 56 Benjamins Gate
Plymouth, MA 02360-8254 - City
- Plymouth
- State
- MA
- Zip
- 02360-8254
- Phone Number
- 508-209-0714
License Information
- License Number
- 12528
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Hanover, MA
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Frequently Asked Questions
What is the NPI number of Dr. Bruce V Pettersen, DDS?
The NPI number of Dr. Bruce V Pettersen, DDS is 1649474677. It was assigned on June 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Bruce V Pettersen, DDS?
Dr. Bruce V Pettersen, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 12528.
Where does Dr. Bruce V Pettersen, DDS practice?
The practice location is 171 Rockland St, Hanover, MA 02339-2222. The office can be reached at 781-826-8331 (phone).
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 1649474677 directly on the NPPES registry website.