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ANDREW PETERSON DMD MS PC
NPI 1912567058
Dentist - Periodontics in Alta Loma, CA

Active since June 20, 2019
9856 HIBISCUS CT, ALTA LOMA, CA 91737(406) 861-8844 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Peterson Dmd Ms Pc NPPES

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

ANDREW PETERSON DMD MS PC (NPI 1912567058) is a healthcare organization registered as a periodontics in Alta Loma, California and active in the NPI registry since June 2019. The organization lists Andrew Gregory Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1912567058
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameANDREW PETERSON DMD MS PC
Location Address9856 HIBISCUS CTAlta Loma, CA 91737-3637
Mailing Address9856 Hibiscus CtAlta Loma, CA 91737-3637 · (406) 861-8844
Phone(406) 861-8844
Organization SubpartNo
Authorized OfficialAndrew Gregory PetersonPresident · (406) 861-8844
Enumeration DateJune 20, 2019
✔ NPI 1912567058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
9856 HIBISCUS CT, Alta Loma, CA 91737
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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

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 Andrew Peterson Dmd Ms PC's NPI number?

The NPI number for Andrew Peterson Dmd Ms PC is 1912567058. It was assigned to this organization in the NPPES registry on June 20, 2019.

Where is Andrew Peterson Dmd Ms PC located?

Andrew Peterson Dmd Ms PC is located at 9856 Hibiscus Ct, Alta Loma, CA 91737. The listed phone number is (406) 861-8844.

What is Andrew Peterson Dmd Ms PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Andrew Peterson Dmd Ms PC was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.