Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIDGET LEIGH PETERSEN
Active Sole ProprietorBRIDGET LEIGH PETERSEN is a Dentist healthcare provider located in MATTITUCK, New York. NPI 1184044026 is currently active in the NPPES registry. Verify at CMS.
Dentist · MATTITUCK, NY
Registration Details
- NPI Number
- 1184044026
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2014 (12.141500995959 yrs)
- Last Updated
- Dec 3, 2015
- License
-
058009 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11535 MAIN RDMATTITUCK, NY, 119521566Browse NY providers · Browse ZIP 11952
- Phone
- 6312985021
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MATTITUCK, NY
| Name | Credential | NPI |
|---|---|---|
| PHILIP J CENTONZE | DMD | 1124178843 |
| DR. ALYSSA VENERUSO FEINMAN | D.D.S. | 1346436953 |
| DR. SUSAN KRISTEN ERICKSON | DDS | 1437893013 |
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.