LORIN DEAN PETERSON DMD
NPI 1699772061
Dentist - Oral and Maxillofacial Pathology in Flagstaff, AZ

Active since June 30, 2005
77 W FOREST AVE, STE 107, FLAGSTAFF, AZ 86001(928) 773-2530(928) 773-2532 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lorin Dean Peterson Dmd NPPES

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

LORIN DEAN PETERSON DMD (NPI 1699772061) is an individual oral and maxillofacial pathology provider in Flagstaff, Arizona, licensed in Arizona (2803) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1699772061
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameLORIN DEAN PETERSONCredential: DMD
Location Address77 W FOREST AVE, STE 107Flagstaff, AZ 86001-1482
Mailing Address77 W Forest Ave, Ste 107Flagstaff, AZ 86001-1482 · (928) 773-2530 · Fax (928) 773-2532
Fax(928) 773-2532
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 17, 2007
NPI 1699772061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in AZ · 2803
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
77 W FOREST AVE, Flagstaff, AZ 86001

Other Identifiers 2

Medicaid086373AZ
Medicare ID-Type UnspecifiedZWMBSR

Other Providers at the Same Location NPPES 20

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

Surgery
77 W FOREST AVE, SUITE 201
FLAGSTAFF, AZ 86001
Nurse Practitioner (Family)
77 W FOREST AVE, SUITE 301
FLAGSTAFF, AZ 86001
Nurse Anesthetist, Certified Registered
77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001
Anesthesiology
77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001
Internal Medicine (Cardiovascular Disease)
77 W FOREST AVE, SUITE 302
FLAGSTAFF, AZ 86001
Anesthesiology
77 W FOREST AVE, SUITE 207
FLAGSTAFF, AZ 86001
Pediatrics
77 W FOREST AVE, SUITE 304
FLAGSTAFF, AZ 86001

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 Lorin Peterson's NPI number?

The NPI number for Lorin Peterson is 1699772061. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Lorin Peterson located?

Lorin Peterson practices at 77 W Forest Ave Ste 107, Flagstaff, AZ 86001. The listed phone number is (928) 773-2530.

What is Lorin Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Lorin Peterson was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.