| Peterson Dental | |
|
1101 Higrove Pkwy Suite 105 Leeds AL 35094-1703 | |
| (205) 699-1155 | |
| (205) 699-1159 |
| Full Name | Peterson Dental |
|---|---|
| Speciality | Dentist |
| Location | 1101 Higrove Pkwy, Leeds, Alabama |
| Authorized Official Name and Position | Nicole Peterson (CFO) |
| Authorized Official Contact | 2056991155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Dental 1101 Higrove Pkwy Suite 105 Leeds AL 35094-1703 Ph: (205) 699-1155 | Peterson Dental 1101 Higrove Pkwy Suite 105 Leeds AL 35094-1703 Ph: (205) 699-1155 |
| NPI Number | 1811366198 |
|---|---|
| Provider Enumeration Date | 09/17/2015 |
| Last Update Date | 09/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811366198 | NPI | - | NPPES |
| 511-11930 | Other | AL | BCBS PROVIDER # |
| 1102337492 | Other | CIGNA GEHA PROVIDER # | |
| 2586372 | Other | AL | UNITED CONCORDIA PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5696 (Alabama) | Primary |
S.a. Koplon Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8125 Parkway Dr, Leeds, AL 35094 Phone: 205-699-2551 Fax: 205-699-5653 | |
Aultman Dental Leeds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 6th St, Leeds, AL 35094 Phone: 205-699-2731 | |
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Michelle K Davis, Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 Parkway Dr, Leeds, AL 35094 Phone: 205-699-8583 Fax: 205-699-4809 |