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Dr. Alan Clark Peterson SR.

Dental Public Health

601 Mcdonough Blvd Se
Atlanta , Georgia 30315-4400

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Dr. Alan Clark Peterson SR.

Dental Public Health

601 Mcdonough Blvd Se
Atlanta , Georgia 30315-4400

(404) 635-5462

Write a Review Save Call

Dr. Alan Clark Peterson SR.

Dental Public Health

601 Mcdonough Blvd Se
Atlanta , Georgia 30315-4400

(404) 635-5462 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dental Public Health

Languages spoken

  • English

Location

601 Mcdonough Blvd Se Atlanta , Georgia 30315-4400

First Address

  • Dr. Alan Clark Peterson SR.
  • 601 Mcdonough Blvd Se
  • Atlanta, GA
  • Zip : 30315-4400
  • Phone : (404) 635-5462

Second Address

  • Dr. Alan Clark Peterson SR.
  • 601 Mcdonough Blvd Se
  • Atlanta, GA
  • Zip : 30315-4400
  • Phone : (404) 635-5462

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FAQs


Where did Dr. Alan Clark Peterson SR. attend graduate school?

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Where did Dr. Alan Clark Peterson SR. do his residency?

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Where did Dr. Alan Clark Peterson SR. do his fellowship?

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Is Dr. Alan Clark Peterson SR. board certified?

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What type of doctor is Dr. Alan Clark Peterson SR.

Dental Public Health

In what state does Dr. Alan Clark Peterson SR. practice in?

Georgia

Where is Dr. Alan Clark Peterson SR.’s practice located?

601 Mcdonough Blvd Se , Atlanta, Georgia, 30315-4400

What is Dr. Alan Clark Peterson SR.’s gender?

Male

Is Dr. Alan Clark Peterson SR. a sole practitioner?

No

Is Dr. Alan Clark Peterson SR. accepting new patients?

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What languages does Dr. Alan Clark Peterson SR. speak?

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Does Dr. Alan Clark Peterson SR. accept insurance?

Yes, Dr. Alan Clark Peterson SR. accepts insurance

Does Dr. Alan Clark Peterson SR. offers telemedicine?

Dr. Alan Clark Peterson SR. has not indicated if he offers telemedicine

What is Dr. Alan Clark Peterson SR.’s professional license number?

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What is Dr. Alan Clark Peterson SR.’s NPI number?

1174975429

Does Dr. Alan Clark Peterson SR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223D0001X Dental Public Health 015796 MO

National Provider Identifier

NPI 1174975429
Provider Name Dr. Alan Clark Peterson SR.
First Address Atlanta, GA 30315-4400
Second Address Atlanta, GA 30315-4400
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 11/07/2016
Last Update Date 11/07/2016

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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