| James S. Peterson, DDS, PA | |
|
598 S Denton Tap Rd Ste 103 Coppell TX 75019-4004 | |
| (972) 462-1600 | |
| Not Available |
| Full Name | James S. Peterson, DDS, PA |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 598 S Denton Tap Rd Ste 103, Coppell, Texas |
| Authorized Official Name and Position | James S Peterson (PRESIDENT) |
| Authorized Official Contact | 9724621600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James S. Peterson, DDS, PA 598 S Denton Tap Rd Ste 103 Coppell TX 75019-4004 Ph: (972) 462-1600 | James S. Peterson, DDS, PA 598 S Denton Tap Rd Ste 103 Coppell TX 75019-4004 Ph: (972) 462-1600 |
| NPI Number | 1174799498 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174799498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20530 (Texas) | Primary |
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