Active NPIIndividual provider

Kevin L Peterson, DMD

Dentist, Endodontics in Brookline, Massachusetts

NPI Number1699789115
Practice location
1 Brookline Pl, Suite 505, Brookline, MA 02445-7224
Fax
—
Last updated
July 8, 2007

Kevin L Peterson is a Dentist, Endodontics based in Brookline, MA. Kevin L Peterson practices in Brookline, MA and has the professional credentials of DMD. The NPI Number for Kevin L Peterson is 1699789115 and holds a License No. 19670 (MA). The current practice location address for Kevin L Peterson is 1 Brookline Pl, Suite 505, Brookline, MA 02445-7224 and can be reached out via phone at 617-735-8500.

Provider Profile Details

NPI Number
1699789115
Provider Name
Kevin L Peterson
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1 Brookline Pl, Suite 505, Brookline, MA 02445-7224
Phone Number
617-735-8500
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Brookline Pl
Suite 505
Brookline, MA 02445-7224
Zip
02445-7224
Phone Number
617-735-8500
Brookline, MA 02445Get directions →

Provider Business Mailing Address Details

Address
220 Boylston St
Apt. 9018
Boston, MA 02116-3929
City
Boston
State
MA
Zip
02116-3929
Phone Number
617-216-8042

License Information

License Number
19670
License State
MA
Taxonomy
Dentist, Endodontics · 1223E0200X · 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 Kevin L Peterson, DMD?

The NPI number of Kevin L Peterson, DMD is 1699789115. It was assigned on July 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Kevin L Peterson, DMD?

Kevin L Peterson, DMD is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in MA under license number 19670.

Where does Kevin L Peterson, DMD practice?

The practice location is 1 Brookline Pl, Suite 505, Brookline, MA 02445-7224. The office can be reached at 617-735-8500 (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 1699789115 directly on the NPPES registry website.

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