| Ronald M. Peterson, Dds, Pc | |
|
3226 13th Ave S Fargo ND 58103-3403 | |
| (701) 232-3379 | |
| (701) 298-0879 |
| Full Name | Ronald M. Peterson, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3226 13th Ave S, Fargo, North Dakota |
| Authorized Official Name and Position | Ronald Mark Peterson (PRESIDENT) |
| Authorized Official Contact | 7012323379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald M. Peterson, Dds, Pc 3226 13th Ave S Fargo ND 58103-3403 Ph: (701) 232-3379 | Ronald M. Peterson, Dds, Pc 3226 13th Ave S Fargo ND 58103-3403 Ph: (701) 232-3379 |
| NPI Number | 1265654016 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265654016 | NPI | - | NPPES |
| 40258 | Medicaid | ND | |
| 901578 | Other | ND | DENTAL SERVICE CORPORATIO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1578 (North Dakota) | Primary |
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