Ronald M. Peterson, Dds, Pc

LBN: Ronald M. Peterson, Dds, Pc
Ronald M. Peterson, Dds, Pc is an health care organization with primary practice located at 3226 13Th Ave S , Fargo ND 58103-3403. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ronald M. Peterson, Dds, Pc can be contacted via phone (701) 232-3379, or through Peterson, Ronald Mark via phone (701) 232-3379.

Contact Information

Primary practice address
3226 13Th Ave S Fargo ND 58103-3403
Phone: (701) 232-3379
Fax: (701) 298-0879
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Ronald Mark Doctor of Dental Surgery (DDS)
Phone: (701) 232-3379

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1578 North Dakota

Profile Details

NPI number 1265654016
LBN Legal business name Ronald M. Peterson, Dds, Pc
DBA Doing business as
Authorized official Peterson, Ronald Mark Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265654016 NPPES
North Dakota MEDICAID 40258
North Dakota Other 901578

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