| Daniel Bryce Petersen, | |
|
420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100 | |
| (803) 895-6951 | |
| Not Available |
| Full Name | Daniel Bryce Petersen |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 420 Polifka Dr Bldg 1042, Shaw Afb, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003498825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10414 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Bryce Petersen, 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100 Ph: (803) 695-6988 | Daniel Bryce Petersen, 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100 Ph: (803) 895-6951 |
Dr. Kevin John Will, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 431 Meadowlark St, Shaw Afb, SC 29152 Phone: 803-895-6988 | |
Jim Li, Dentist Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6960 | |
Dr. Misty Marie Bennett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6951 | |
Dr. Elizabeth Ann Bowman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-2006 | |
Lauren Mattmuller, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6356 | |
Emily Soyoon Yoon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-895-6971 |