Peterson, Michael Dean

Peterson, Michael Dean is an individual health care provider with primary practice located at 4710 Amber Valley Pkwy S, Ste A , Fargo ND 58104. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Peterson, Michael Dean can be contacted via phone (701) 232-1956.

Contact Information

Primary practice address
4710 Amber Valley Pkwy S, Ste A Fargo ND 58104
Phone: (701) 232-1956
Fax: (701) 232-2226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 8004 Maryland

Profile Details

NPI number 1578848131
LBN Legal business name Peterson, Michael Dean
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2011
Last updated Jul 10th, 2012 - about 13 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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