| Dr Douglas A Petersen, DMD | |
|
310 N 400 E, Nephi, UT 84648-1558 | |
| (435) 623-1918 | |
| (435) 623-7137 |
| Full Name | Dr Douglas A Petersen |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 310 N 400 E, Nephi, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003942335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5130379-9922 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas A Petersen, DMD 310 N 400 E, Nephi, UT 84648-1558 Ph: (435) 623-1918 | Dr Douglas A Petersen, DMD 310 N 400 E, Nephi, UT 84648-1558 Ph: (435) 623-1918 |
Dr. Byron B Woodland, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 North 400 East, Nephi, UT 84648 Phone: 435-623-1916 Fax: 435-623-7137 | |
Scott William Petersen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 N 400 E, Nephi, UT 84648 Phone: 435-623-1916 Fax: 435-623-7137 | |
Dr. Scott Hall Shakespear, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 N 400 E, Nephi, UT 84648 Phone: 435-623-1916 |