DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIEL BRYCE PETERSEN, D.M.D.

Active

DANIEL BRYCE PETERSEN, D.M.D. is a Dentist healthcare provider located in SHAW AFB, South Carolina. NPI 1003498825 is currently active in the NPPES registry. Verify at CMS.

Dentist · SHAW AFB, SC

Registration Details

NPI Number
1003498825
Provider Type
Individual
Gender
Male
NPI Issued
Apr 21, 2021 (5.2847992641834 yrs)
Last Updated
Nov 25, 2024
License
10414 (SC)

Practice Information

Address
420 POLIFKA DR BLDG 1042
SHAW AFB, SC, 291525100
Browse SC providers · Browse ZIP 29152
Phone
8038956951
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SHAW AFB, SC

Name Credential NPI
JIM LI 1548644677
MRS. JESSICA LAUREN STARNES DMD 1720547268
DR. KEVIN JOHN WILL DMD 1013681527
DR. ANNA MARIE CAPTAIN DDS 1528705894
SAMANTHA NIXON DMD 1902652720
ALAYNA RENEE JONES DMD 1659128429
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.