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

DR. CHRISTINE GRACE PETERSON, DDS

Active Sole Proprietor

DR. CHRISTINE GRACE PETERSON, DDS is a Dental Public Health healthcare provider located in FORT YATES, North Dakota. NPI 1144430679 is currently active in the NPPES registry. Verify at CMS.

Dental Public Health · FORT YATES, ND

Registration Details

NPI Number
1144430679
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2007 (19.264211397666 yrs)
Last Updated
Jul 8, 2007
License
1956 (ND)
Sole Proprietor
Yes

Practice Information

Address
STANDING ROCK IHS HOSPITAL
00N10 NORTH RIVER ROAD
FORT YATES, ND, 58538
Browse ND providers · Browse ZIP 58538
Phone
7018548219
Primary Specialty
Dental Public Health
1223D0001X
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.