DR. BRUCE L PETERSON DDS - NPI 1679631253

Q: What is Bruce Peterson's NPI number?

The NPI number for Bruce Peterson is 1679631253. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Bruce Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bruce Peterson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Bruce L Peterson Dds NPPES

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

DR. BRUCE L PETERSON DDS (NPI 1679631253) is an individual general practice provider in Brighton, Colorado, licensed in Colorado (CO7227) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1679631253

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRUCE L PETERSONCredential: DDS

Location Address1790 E BRIDGE STBrighton, CO 80601-1934

Mailing Address1790 E Bridge StBrighton, CO 80601-1934 · (303) 659-1064 · Fax (303) 659-1065

Phone(303) 659-1064

Fax(303) 659-1065

Sole ProprietorYes

Enumeration DateDecember 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679631253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · CO7227

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.

1790 E BRIDGE ST, Brighton, CO 80601

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