Douglas E Peterson
Dentist Dentist - General Practice
263 Farmington Ave
Farmington
, Connecticut 06030-0001
Douglas E Peterson
Dentist Dentist - General Practice
263 Farmington Ave
Farmington
, Connecticut 06030-0001
(860) 679-1610
Write a Review Share Save Call
About
Features
Specialties
- Dentist
- General Practice
Languages spoken
- English
Location
First Address
- Douglas E Peterson
- 263 Farmington Ave Provider Enrollment
- Farmington, CT
- Zip : 06030-2212
- Fax : (860) 679-1610
- Phone : (860) 679-7503
Second Address
- Douglas E Peterson
- 263 Farmington Ave
- Farmington, CT
- Zip : 06030-0001
- Fax : (860) 679-4760
- Phone : (860) 679-2952
Reviews
FAQs
Where did Douglas E Peterson attend graduate school?
Where did Douglas E Peterson do his residency?
Where did Douglas E Peterson do his fellowship?
Is Douglas E Peterson board certified?
What type of doctor is Douglas E Peterson
In what state does Douglas E Peterson practice in?
Where is Douglas E Peterson ’s practice located?
What is Douglas E Peterson ’s gender?
Is Douglas E Peterson a sole practitioner?
Is Douglas E Peterson accepting new patients?
What languages does Douglas E Peterson speak?
Does Douglas E Peterson accept insurance?
Does Douglas E Peterson offers telemedicine?
What is Douglas E Peterson ’s professional license number?
What is Douglas E Peterson ’s NPI number?
Does Douglas E Peterson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 007480 | CT |
| N | 1223G0001X | General Practice | 007480 | CT |
| N | 213EG0000X | General Practice | 007480 | CT |
National Provider Identifier
| NPI | 1003813445 |
|---|---|
| Provider Name | Douglas E Peterson |
| First Address | Farmington, CT 06030-2212 |
| Second Address | Farmington, CT 06030-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2005 |
| Last Update Date | 12/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003813445 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.