Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK EDWARD PETERSON, DDS
Active Sole ProprietorDR. MARK EDWARD PETERSON, DDS is a Dentist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1528013661 is currently active in the NPPES registry. Verify at CMS.
Dentist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1528013661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2006 (20.041977680107 yrs)
- Last Updated
- Mar 14, 2019
- License
-
13556 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2440 GAYNOR NWGRAND RAPIDS, MI, 495441830Browse MI providers · Browse ZIP 49544
- Phone
- 6167848444
- Fax
- 6167846912
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES B BRENNAN | D.D.S. | 1619970522 |
| DR. MICHAEL VINCENT MEHLING | D.D.S. | 1184618423 |
| DR. KENNETH E FRIESWYK | DDS | 1821078056 |
| DR. KATHI ANN WILSON | DDS | 1144291477 |
| C PHILIP DOEZEMA | DDS | 1902877988 |
| PETER ALAN GARCHOW | DDS | 1659331452 |
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.