| 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 |
|---|---|
| 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 |