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

DR. ALAN CLARK PETERSON SR., D.M.D.

Active Sole Proprietor

Dental Public Health · ATLANTA, GA

Registration Details

NPI Number
1174975429
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2016 (9.7799933472225 yrs)
Last Updated
Jul 11, 2016
License
015796 (MO)
Sole Proprietor
Yes

Practice Information

Address
601 MCDONOUGH BLVD SE
ATLANTA, GA, 303154400
Browse GA providers · Browse ZIP 30315
Phone
4046355462
Primary Specialty
Dental Public Health
1223D0001X

Other Dental Public Health Providers in ATLANTA, GA

Name Credential NPI
DR. JOHN PAUL MISTRETTA DDS 1174603013
DR. CHRISTINA ELIZABETH STOEVER DDS 1134285786
DR. KAHINA ETOSSI KING DMD, MS 1689873671
DR. KENNETH WAYNE SPRAGGINS D.D.S. 1326207440
DR. MICHAEL MINA GUIRGUIS DDS 1841638152
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.