Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIRK JOHN PETERSEN, D.M.D.
ActiveDR. KIRK JOHN PETERSEN, D.M.D. is a Dentist healthcare provider located in SMITH RIVER, California. NPI 1285638106 is currently active in the NPPES registry. Verify at CMS.
Dentist · SMITH RIVER, CA
Registration Details
- NPI Number
- 1285638106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2005 (21.177452379482 yrs)
- Last Updated
- Mar 3, 2018
- License
-
35534 (CA)
Practice Information
- Address
-
501 N INDIAN RDSMITH RIVER, CA, 955679509Browse CA providers · Browse ZIP 95567
- Phone
- 7074870215
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SMITH RIVER, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN D. WASSENMILLER | D.D.S. | 1518157866 |
| DR. MARK RIZK | DDS | 1881214203 |
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.