Individual
DR. TAYLOR COLE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
614 S FERGUSON AVE STE 2, BOZEMAN, MT 59718-6413
(406) 586-3040
Mailing address
1950 N LOGAN ST APT 310, DENVER, CO 80203-1174
(406) 868-8665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN.00203648
CO
1223P0300X
Periodontics
Primary
23613
MT
Other
Enumeration date
07/30/2018
Last updated
08/21/2023
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