Individual
DR. PETER NEILSON JEPPSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2500 30TH ST STE 204, BOULDER, CO 80301-1258
(918) 207-5526
Mailing address
2814 RIDGE VIEW CIRCLE, APT D, ERIE, CO 80516
(918) 207-5526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3717
AR
1223G0001X
General Practice Dentistry
Primary
DEN.00203187
CO
Other
Enumeration date
12/07/2009
Last updated
03/17/2018
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