| Franklin E. Peterson Dds | |
|
111 N Country Rd Port Jefferson NY 11777-2605 | |
| (631) 473-4400 | |
| Not Available |
| Full Name | Franklin E. Peterson Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 111 N Country Rd, Port Jefferson, New York |
| Authorized Official Name and Position | Sara Grace (DENTIST) |
| Authorized Official Contact | 6314734400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Franklin E. Peterson Dds 111 N Country Rd Port Jefferson NY 11777-2605 Ph: (631) 473-4400 | Franklin E. Peterson Dds 111 N Country Rd Port Jefferson NY 11777-2605 Ph: (631) 473-4400 |
| NPI Number | 1992171441 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992171441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 053165 (New York) | Primary |
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