Peterson, Benjamin T
Peterson, Benjamin T is an sole proprietor health care provider with primary practice located at 271 Sw 13Th St , Ontario OR 97914-4530. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peterson, Benjamin T can be contacted via phone (541) 889-9407.Contact Information
Primary practice address
271 Sw 13Th St
Ontario OR 97914-4530
Phone: (541) 889-9407
Fax: (541) 889-6551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D8413 | Oregon |
Profile Details
| NPI number | 1720159080 |
|---|---|
| LBN Legal business name | Peterson, Benjamin T |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jun 8th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720159080 | NPPES |
| Oregon | MEDICAID | 231468 |
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