Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH L PETERSON, D.M.D.
Active Sole ProprietorDR. KENNETH L PETERSON, D.M.D. is a General Dentistry healthcare provider located in JOHN DAY, Oregon. NPI 1053321497 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · JOHN DAY, OR
Registration Details
- NPI Number
- 1053321497
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2006 (20.021025398208 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3986 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
165 NW 1ST AVEJOHN DAY, OR, 978451101Browse OR providers · Browse ZIP 97845
- Phone
- 5415750363
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in JOHN DAY, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES ARTHUR KLUSMIER | D.D.S. | 1356360044 |
| MICHAEL B DESJARDIN | D.M.D. | 1720203227 |
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.