Peterson, Tony Leroy
Peterson, Tony Leroy is an individual health care provider with primary practice located at 1050 S 8Th St , Colorado Springs CO 80905-7307. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Peterson, Tony Leroy can be contacted via phone (719) 633-8455.Contact Information
Primary practice address
1050 S 8Th St
Colorado Springs CO 80905-7307
Phone: (719) 633-8455
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 10364 | Colorado |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1236 | Wyoming |
Profile Details
NPI number | 1053302075 |
---|---|
LBN Legal business name | Peterson, Tony Leroy |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2005 |
Last updated | Jan 29th, 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.
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