# W.J.PETERSON DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659516672
- **Authorized official:** DR. WILLIAM J PETERSON DDS (PRESIDENT)
- **Authorized official phone:** (402) 376-1942

## Contact information

- **Practice address:** 275 N MAIN ST, VALENTINE, NE 69201-1840
- **Practice address phone:** (402) 376-1942
- **Practice address fax:** (402) 376-1835
- **Mailing address:** PO BOX 378, VALENTINE, NE 69201-0378
- **Mailing address phone:** (402) 376-1942
- **Mailing address fax:** (402) 376-1835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4869 | NE | Yes |

## Other

- **Enumeration date:** 12/04/2008
- **Last updated:** 08/17/2018