Eric L Peterson Dds Pc

LBN: Eric L Peterson Dds Pc
Eric L Peterson Dds Pc is an health care organization with primary practice located at 225 Scottwood Ave , Elmira Heights NY 14903-1322. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Eric L Peterson Dds Pc can be contacted via phone (607) 733-3616, or through Peterson, Eric Laurence via phone (607) 733-3616.

Contact Information

Primary practice address
225 Scottwood Ave Elmira Heights NY 14903-1322
Phone: (607) 733-3616
Fax: (607) 733-1053
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Eric Laurence Doctor of Dental Surgery (DDS)
Phone: (607) 733-3616

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 049002 New York

Profile Details

NPI number 1639165384
LBN Legal business name Eric L Peterson Dds Pc
DBA Doing business as
Authorized official Peterson, Eric Laurence Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639165384 NPPES
New York MEDICAID 02169271

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