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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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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