Organization
PETER FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PETER DMD (OWNER)
(859) 429-1327
Entity
Organization
Contact information
Practice address
2025 DECLARATION DR STE B, INDEPENDENCE, KY 41051-7983
(859) 429-1327
Mailing address
2025 DECLARATION DR STE B, INDEPENDENCE, KY 41051-7983
(859) 429-1327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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