Elden Walter Peterson
Dentist
9269 Redwood Rd
West Jordan
, Utah 84088-6572
(801) 566-1963
Write a Review Share Save Call
About
Features
Language(s) Spoken
English
Ethnic Identity
White / Caucasian
Specialties
- Dentist
Languages spoken
- English
Location
First Address
- Elden Walter Peterson
- 9269 Redwood Rd
- West Jordan, UT
- Zip : 84088-6572
- Fax : (801) 566-1963
- Phone : (801) 566-4153
Second Address
- Elden Walter Peterson
- 9269 Redwood Rd
- West Jordan, UT
- Zip : 84088-6572
- Fax : (801) 566-1963
- Phone : (801) 566-4153
Reviews
FAQs
Where did Elden Walter Peterson attend graduate school?
Provider has not completed his profile. If you are Elden Walter Peterson, click here to claim your profile
Where did Elden Walter Peterson do his residency?
Provider has not completed his profile. If you are Elden Walter Peterson, click here to claim your profile
Where did Elden Walter Peterson do his fellowship?
Provider has not completed his profile. If you are Elden Walter Peterson, click here to claim your profile
Is Elden Walter Peterson board certified?
Provider has not completed his profile. If you are Elden Walter Peterson, click here to claim your profile
What type of doctor is Elden Walter Peterson
Dentist
In what state does Elden Walter Peterson practice in?
Utah
Where is Elden Walter Peterson ’s practice located?
9269 Redwood Rd , West Jordan, Utah, 84088-6572
What is Elden Walter Peterson ’s gender?
Male
Is Elden Walter Peterson a sole practitioner?
No
Is Elden Walter Peterson accepting new patients?
Provider has not completed his profile. If you are Elden Walter Peterson, click here to claim your profile
What languages does Elden Walter Peterson speak?
Provider has not completed his profile. If you are Elden Walter Peterson, click here to claim your profile
Does Elden Walter Peterson accept insurance?
Yes, Elden Walter Peterson accepts insurance
Does Elden Walter Peterson offers telemedicine?
Elden Walter Peterson has not indicated if he offers telemedicine
What is Elden Walter Peterson ’s professional license number?
Provider has not completed his profile. If you are Elden Walter Peterson, click here to claim your profile
What is Elden Walter Peterson ’s NPI number?
1003966169
Does Elden Walter Peterson have any license restrictions?
Provider has not completed his profile. If you are Elden Walter Peterson, click here to claim your profile
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 1307709922 | UT |
National Provider Identifier
| NPI | 1003966169 |
|---|---|
| Provider Name | Elden Walter Peterson |
| First Address | West Jordan, UT 84088-6572 |
| Second Address | West Jordan, UT 84088-6572 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2007 |
| Last Update Date | 08/07/2007 |
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)
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.
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.