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Dr. Thomas John Peterson, DDS
General Practice Dentistry in Valders, Wisconsin
NPI 1851492573

Thomas John Peterson is a General Practice Dentistry based in Valders, WI and is specialized in General Practice. Thomas John Peterson practices in Valders, WI and has the professional credentials of DDS. The NPI Number for Thomas John Peterson is 1851492573 and holds a License No. 3128015 (Wisconsin).

The current practice location address for Thomas John Peterson is 519 Christel Dr., Valders, WI and can be reached out via phone at 920-775-4531 and via fax at 920-775-4180.

Location: 519 Christel Dr., Valders, WI, 54245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851492573
Provider Name
Thomas John Peterson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
519 Christel Dr., Valders, WI, 54245
Phone Number
920-775-4531
Fax Number
920-775-4180
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33456300 05 WI
3128015 01 WI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
519 Christel Dr.
City
Valders
State
Wisconsin
Zip
54245
Phone Number
920-775-4531
Fax Number
920-775-4180
person
Provider Business Mailing Address Details
Address
519 Christel Dr.
City
Valders
State
Wisconsin
Zip
54245
Phone Number
920-775-4531
Fax Number
920-775-4180
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3128015 (Wisconsin)
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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