Peterson, Tyler Blaine
Peterson, Tyler Blaine is an individual health care provider with primary practice located at 625 E. Nicollet Blvd. Suite 340, Burnsville MN 55337. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Peterson, Tyler Blaine can be contacted via phone (952) 435-0370.Contact Information
Primary practice address
625 E. Nicollet Blvd. Suite 340
Burnsville MN 55337
Phone: (952) 435-0370
Fax: (952) 435-0377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D12671 | Minnesota |
Profile Details
| NPI number | 1306074836 |
|---|---|
| LBN Legal business name | Peterson, Tyler Blaine |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2009 |
| Last updated | Jun 18th, 2019 - about 5 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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