| Shon J Peterson, Dmd, Ms | |
|
11265 Decatur St Ste 400 Westminster CO 80234-4793 | |
| (303) 452-4656 | |
| (303) 254-6994 |
| Full Name | Shon J Peterson, Dmd, Ms |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11265 Decatur St Ste 400, Westminster, Colorado |
| Authorized Official Name and Position | Shon Peterson (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 3034524656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shon J Peterson, Dmd, Ms 11265 Decatur St Ste 400 Westminster CO 80234-4793 Ph: (303) 452-4656 | Shon J Peterson, Dmd, Ms 11265 Decatur St Ste 400 Westminster CO 80234-4793 Ph: (303) 452-4656 |
| NPI Number | 1699048439 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 04/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699048439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8741 (Colorado) | Primary |
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