| Dr Kenneth L Peterson, DMD | |
|
165 Nw 1st Ave, John Day, OR 97845-1101 | |
| (541) 575-0363 | |
| Not Available |
| Full Name | Dr Kenneth L Peterson |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 165 Nw 1st Ave, John Day, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053321497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3986 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth L Peterson, DMD 165 Nw 1st Ave, John Day, OR 97845-1101 Ph: (541) 575-0363 | Dr Kenneth L Peterson, DMD 165 Nw 1st Ave, John Day, OR 97845-1101 Ph: (541) 575-0363 |
Kent Cherry, Dentist Medicare: Not Enrolled in Medicare Practice Location: 750 W Main St, John Day, OR 97845 Phone: 888-468-0022 Fax: 541-504-3907 | |
Dr. James Arthur Klusmier, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 165 Nw 1st Ave, John Day, OR 97845 Phone: 541-575-0363 | |
Dr. Virginia L Mcmillian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 150 Ogilvie Dr, John Day, OR 97845 Phone: 541-575-0550 Fax: 541-575-0551 | |
Michael B Desjardin, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 Nw Canton St, John Day, OR 97845 Phone: 541-575-2725 |