Scott Mathew Peterson DDS, MS

NPI 1134396336 - Dentist - 1223X0400X

NPI Details
NPI 1134396336
Gender Male
Enumeration Date 05/15/2008
Last Updated 05/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
111 N REGENCY DR
BLOOMINGTON IL, 61701-3515, US
Phone (309) 662-5331
Fax (309) 663-1112
Business Location
111 N REGENCY DR
BLOOMINGTON IL, 61701-3515, US
Phone (309) 662-5331
Fax (309) 663-1112
Toxanomy
Taxonomy Code 1223X0400X
License State Illinois
License Number 021-002109
Remove 1134396336 NPI Number
 

According to our database, Dr. Scott Mathew Peterson DDS, MS NPI is 1134396336, taxonomy code is 1223X0400X and license number is 021-002109, license state is located at Illinois. Scott Mathew Peterson DDS, MS physically located at 111 N Regency Dr, Bloomington IL, 61701-3515. NPI Number Scott Mathew Peterson DDS, MS has the Individual type.

Sponsored links

1134396336 NPI number is provided on an as is basis without warranty of any kind. 1134396336 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Mathew Peterson DDS, MS are for informational purposes only.