Dr Dale Reed Peterson, DDS is a
Dentist based in Manson, Washington. Dr Dale Reed Peterson is licensed to practice in Washington (license number 5310) and his current practice location is
160 Wapato Way, Manson, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 687-9221.
NPI number for Dr Dale Reed Peterson is 1265543573 and his current mailing address is Po Box 405, 160 Wapato Way, Manson, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265543573.
Healthcare Provider's Profile
| Full Name | Dr Dale Reed Peterson |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 160 Wapato Way, Manson, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265543573
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Dale Reed Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265543573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 5310 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dale Reed Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Dale Reed Peterson, DDS
Po Box 405, 160 Wapato Way,
Manson, WA 98831
Ph: (509) 687-9221 | Dr Dale Reed Peterson, DDS
160 Wapato Way,
Manson, WA 98831
Ph: (509) 687-9221 |
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