Katie D. Peterson, Dds, Pc | |
920 N Main St Mountain Grove MO 65711-1315 | |
(417) 926-4910 | |
(417) 926-4399 |
Full Name | Katie D. Peterson, Dds, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 920 N Main St, Mountain Grove, Missouri |
Authorized Official Name and Position | Katie Dawn Peterson (PRESIDENT) |
Authorized Official Contact | 4179264910 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Katie D. Peterson, Dds, Pc 920 N Main St Mountain Grove MO 65711-1315 Ph: (417) 926-4910 | Katie D. Peterson, Dds, Pc 920 N Main St Mountain Grove MO 65711-1315 Ph: (417) 926-4910 |
NPI Number | 1326301359 |
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Provider Enumeration Date | 06/25/2012 |
Last Update Date | 06/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326301359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2012015429 (Missouri) | Primary |
Access Dental & Dentures Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 N Main St, Mountain Grove, MO 65711 Phone: 417-501-1048 Fax: 417-501-1661 | |
Thomas Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Main St, Mountain Grove, MO 65711 Phone: 417-299-6130 | |
Samuel E Deatherage Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 North Main, Mountain Grove, MO 65711 Phone: 417-926-4910 Fax: 417-926-4399 | |
Ads Mt. Grove Lp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 N Main St, Mountain Grove, MO 65711 Phone: 417-926-1160 |