Dr Alexander Gregory O'neal Petersen, DMD | |
1605 George Jackson Rd, Maupin, OR 97037-9208 | |
(541) 395-2911 | |
Not Available |
Full Name | Dr Alexander Gregory O'neal Petersen |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1605 George Jackson Rd, Maupin, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407577844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D11692 (Oregon) | Primary |
Mailing Address | Practice Location Address |
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Dr Alexander Gregory O'neal Petersen, DMD 1605 George Jackson Rd, Maupin, OR 97037-9208 Ph: (541) 395-2911 | Dr Alexander Gregory O'neal Petersen, DMD 1605 George Jackson Rd, Maupin, OR 97037-9208 Ph: (541) 395-2911 |
Dr. E. Lee Balentine, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 503 Deschutes Ave, Maupin, OR 97037 Phone: 541-395-2636 | |
Dr. Austen Cimone Sawzak, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1605 George Jackson Rd, Maupin, OR 97037 Phone: 541-395-2911 |