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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Popular Providers
-
Cox, Mark
2945 Northwoods Way , Redding CA 96002-2136 -
Lapp, Thomas H
10972 Allisonville Rd Suite 100, Fishers IN 46038-2637 -
Sullivan, Steven M
1000 N Lincoln Blvd Ste 200, Oklahoma City OK 73104-3252 -
Evans, William Walker
2710 Eureka Way Suite 3, Redding CA 96001-0230 -
Suarez, Francisco E
316 Knollcrest Dr , Redding CA 96002-0104 -
Orden, Adam
1330 Beacon St Ste 344, Brookline MA 02446-3202 -
Burlingame, Shaun
316 Knollcrest Dr , Redding CA 96002-0104 -
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329