Individual
JOEL BRANDON PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3466 HOLIDAY CT, BETTENDORF, IA 52722-3496
(563) 332-1321
(563) 332-3905
Mailing address
3466 HOLIDAY CT, BETTENDORF, IA 52722-3496
(563) 332-1321
(563) 332-3905
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7272
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29305
BC/BS PROVIDER #
IA
05
—
399655
—
IA
01
—
637297
UNITED CONCORDIA PROVIDER
IA
Enumeration date
10/02/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us