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ERIC L PETERSON DDS PC
NPI 1639165384
Dentist - General Practice in Elmira Heights, NY

Active since September 27, 2005
225 SCOTTWOOD AVE, ELMIRA HEIGHTS, NY 14903(607) 733-3616(607) 733-1053 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric L Peterson Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC L PETERSON DDS PC (NPI 1639165384) is a healthcare organization registered as a general practice in Elmira Heights, New York and active in the NPI registry since September 2005. The organization lists Eric Laurence Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1639165384
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameERIC L PETERSON DDS PC
Location Address225 SCOTTWOOD AVEElmira Heights, NY 14903-1322
Mailing Address225 Scottwood AveElmira Heights, NY 14903-1322 · (607) 733-3616 · Fax (607) 733-1053
Phone(607) 733-3616
Fax(607) 733-1053
Organization SubpartNo
Authorized OfficialEric Laurence PetersonPresident · (607) 733-3616
Enumeration DateSeptember 27, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639165384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 049002
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.
225 SCOTTWOOD AVE, Elmira Heights, NY 14903
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Other Identifiers 1

Medicaid02169271NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC L PETERSON DDS
Dentist (General Practice)
225 SCOTTWOOD AVE
ELMIRA HEIGHTS, NY 14903
Chemung County (607) 733-3616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric L Peterson Dds PC's NPI number?

The NPI number for Eric L Peterson Dds PC is 1639165384. It was assigned to this organization in the NPPES registry on September 27, 2005.

Where is Eric L Peterson Dds PC located?

Eric L Peterson Dds PC is located at 225 Scottwood Ave, Elmira Heights, NY 14903. The listed phone number is (607) 733-3616.

What is Eric L Peterson Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Eric L Peterson Dds PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.