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John Conrad Peterson, DDS
General Practice Dentistry in Oceanside, New York
NPI 1881703700

John Conrad Peterson is a General Practice Dentistry based in Oceanside, NY and is specialized in General Practice. John Conrad Peterson practices in Oceanside, NY and has the professional credentials of DDS. The NPI Number for John Conrad Peterson is 1881703700 and holds a License No. 029836-1 (New York).

The current practice location address for John Conrad Peterson is 2983 Long Beach Rd, Oceanside, NY and can be reached out via phone at 516-536-5777 and via fax at 855-201-3647.

Location: 2983 Long Beach Rd, Oceanside, NY, 11572-3204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881703700
Provider Name
John Conrad Peterson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2983 Long Beach Rd, Oceanside, NY, 11572-3204
Phone Number
516-536-5777
Fax Number
855-201-3647
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00304132 05 NY
institution
Provider Business Practice Location Address Details
Address
2983 Long Beach Rd
City
Oceanside
State
New York
Zip
11572-3204
Phone Number
516-536-5777
Fax Number
855-201-3647
person
Provider Business Mailing Address Details
Address
2983 Long Beach Rd
City
Oceanside
State
New York
Zip
11572-3204
Phone Number
516-536-5777
Fax Number
855-201-3647
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
029836-1 (New York)
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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