Peterson, Benjamin Robert

Peterson, Benjamin Robert is an individual health care provider with primary practice located at 424 South St. , Waterloo IA 50701. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Peterson, Benjamin Robert can be contacted via phone (319) 234-2684.

Contact Information

Primary practice address
424 South St. Waterloo IA 50701
Phone: (319) 234-2684
Fax: (319) 233-5974
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D12600 Minnesota
Dental Providers / General Practice 1223G0001X 08702 Iowa
Dental Providers / Dentist 122300000X D12600 Minnesota

Profile Details

NPI number 1801052915
LBN Legal business name Peterson, Benjamin Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated Oct 4th, 2010 - about 15 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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