Petersen, Daniel W

Petersen, Daniel W is an sole proprietor health care provider with primary practice located at 316 Knollcrest Dr , Redding CA 96002-0104. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Petersen, Daniel W can be contacted via phone (530) 223-1811.

Contact Information

Primary practice address
316 Knollcrest Dr Redding CA 96002-0104
Phone: (530) 223-1811
Fax: (530) 223-1813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 050824 New York
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 57031 California

Profile Details

NPI number 1497817191
LBN Legal business name Petersen, Daniel W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2006
Last updated Dec 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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