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Tony Leroy Peterson

Oral and Maxillofacial Surgeon

1050 S 8th St
Colorado Springs , Colorado 80905-7307

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Tony Leroy Peterson

Oral and Maxillofacial Surgeon

1050 S 8th St
Colorado Springs , Colorado 80905-7307

(719) 633-8455

Write a Review Save Call

Tony Leroy Peterson

Oral and Maxillofacial Surgeon

1050 S 8th St
Colorado Springs , Colorado 80905-7307

(719) 633-8455 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon

Languages spoken

  • English

Location

1050 S 8th St Colorado Springs , Colorado 80905-7307

First Address

  • Tony Leroy Peterson
  • 1050 S 8th St
  • Colorado Springs, CO
  • Zip : 80905-7307
  • Phone : (719) 633-8455

Second Address

  • Tony Leroy Peterson
  • 1050 S 8th St
  • Colorado Springs, CO
  • Zip : 80905-7307
  • Phone : (719) 633-8455

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FAQs


Where did Tony Leroy Peterson attend graduate school?

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Where did Tony Leroy Peterson do his residency?

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Where did Tony Leroy Peterson do his fellowship?

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Is Tony Leroy Peterson board certified?

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What type of doctor is Tony Leroy Peterson

Oral and Maxillofacial Surgeon

In what state does Tony Leroy Peterson practice in?

Colorado

Where is Tony Leroy Peterson ’s practice located?

1050 S 8th St , Colorado Springs, Colorado, 80905-7307

What is Tony Leroy Peterson ’s gender?

Male

Is Tony Leroy Peterson a sole practitioner?

No

Is Tony Leroy Peterson accepting new patients?

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What languages does Tony Leroy Peterson speak?

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Does Tony Leroy Peterson accept insurance?

Yes, Tony Leroy Peterson accepts insurance

Does Tony Leroy Peterson offers telemedicine?

Tony Leroy Peterson has not indicated if he offers telemedicine

What is Tony Leroy Peterson ’s professional license number?

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What is Tony Leroy Peterson ’s NPI number?

1053302075

Does Tony Leroy Peterson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223S0112X Oral and Maxillofacial Surgeon 10364 CO
N 1223S0112X Oral and Maxillofacial Surgeon 1236 WY

National Provider Identifier

NPI 1053302075
Provider Name Tony Leroy Peterson
First Address Colorado Springs, CO 80905-7307
Second Address Colorado Springs, CO 80905-7307
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 31/10/2005
Last Update Date 29/01/2014

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
VAD000 (02)

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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