Individual
DR. THOMAS JAMES PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
188 OSBORN DR, DICKINSON, ND 58601-3960
(701) 483-8113
Mailing address
188 OSBORN DR, DICKINSON, ND 58601-3960
(701) 483-8113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2429
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1483355
—
ND
01
—
4572184
UCCI DENTAL CLAIMS (BCBS)
—
Enumeration date
03/08/2021
Last updated
02/28/2022
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