| Douglas E Peterson, DMD | |
|
263 Farmington Ave, Farmington, CT 06030-0001 | |
| (860) 679-2952 | |
| (860) 679-4760 |
| Full Name | Douglas E Peterson |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003813445 | NPI | - | NPPES |
| 1003813445 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 007480 (Connecticut) | Secondary |
| 122300000X | Dentist | 007480 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas E Peterson, DMD 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | Douglas E Peterson, DMD 263 Farmington Ave, Farmington, CT 06030-0001 Ph: (860) 679-2952 |
Dr. Luis Chavez De Paz, DDS, MS, PHD Dentist Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2719 | |
Dr. Alan G Lurie, DDS Dentist Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Uconn Health Center Mc2110, Farmington, CT 06030 Phone: 860-679-2453 Fax: 860-679-2756 | |
John R. Agar, DDS Dentist Medicare: Medicare Enrolled Practice Location: John Dempsey Hospital, 263 Farminton Avenue, Mc-1615, Farmington, CT 06030 Phone: 860-679-2649 | |
Sumit Yadav, DDS Dentist Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, L 7063, Farmington, CT 06030 Phone: 860-679-2664 Fax: 860-679-1920 | |
Ellen Eisenberg, DMD Dentist Medicare: May Accept Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2952 Fax: 860-679-4760 | |
Dr. Natasha A Larson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2000 |