Dr. Rex J. Peterson
Orthodontists
5640 Wasatch Dr Ste C
Ogden
, Utah 84403-4993
Dr. Rex J. Peterson
Orthodontists
5640 Wasatch Dr Ste C
Ogden
, Utah 84403-4993
(801) 479-9443
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Rex J. Peterson
- 5640 Wasatch Dr Ste C
- Ogden, UT
- Zip : 84403-4993
- Phone : (801) 479-9443
Second Address
- Dr. Rex J. Peterson
- 5640 Wasatch Dr Ste C
- Ogden, UT
- Zip : 84403-4993
- Phone : (801) 479-9443
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 140013-9921 | UT |
National Provider Identifier
| NPI | 1073653689 |
|---|---|
| Provider Name | Dr. Rex J. Peterson |
| First Address | Ogden, UT 84403-4993 |
| Second Address | Ogden, UT 84403-4993 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 22/03/2017 |
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.