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

KATIE DAWN PETERSON, D.D.S

Active Sole Proprietor

KATIE DAWN PETERSON, D.D.S is a General Dentistry healthcare provider located in MOUNTAIN GROVE, Missouri. NPI 1033471263 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MOUNTAIN GROVE, MO

Registration Details

NPI Number
1033471263
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2012 (14.159211671872 yrs)
Last Updated
Jun 13, 2012
License
2012015429 (MO)
Sole Proprietor
Yes

Practice Information

Address
920 N MAIN ST
MOUNTAIN GROVE, MO, 657111315
Browse MO providers · Browse ZIP 65711
Phone
4179264910
Fax
4179264399
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in MOUNTAIN GROVE, MO

Name Credential NPI
DR. TOMMY DEAN TODD DDS 1114035870
DR. LAUREN JEAN BALES DDS 1851501423
DR. PRESTON WILLIAM THOMAS DDS 1407467145
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.