Organization
SCOTT PETERSON DMD MS PLLC
Active
Organization
SCOTT PETERSON DMD MS PLLC
Active
Other names
Peterson Family Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT PETERSON DMD MS (OWNER)
(480) 440-6923
Entity
Organization
Contact information
Practice address
35 W COMBS RD STE 102, QUEEN CREEK, AZ 85140-9102
(480) 725-9272
Mailing address
40615 N GANTZEL RD STE 107, SAN TAN VALLEY, AZ 85140-7010
(480) 725-9272
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D009577
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912452558
—
AZ
Enumeration date
08/18/2017
Last updated
08/13/2018
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