Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY JOHN PETERSON, D.D.S.
Active Sole ProprietorGARY JOHN PETERSON, D.D.S. is a General Dentistry healthcare provider located in ANTIGO, Wisconsin. NPI 1538289467 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ANTIGO, WI
Registration Details
- NPI Number
- 1538289467
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2007 (19.371886108578 yrs)
- Last Updated
- Jul 9, 2007
- License
-
2494 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2010 PROGRESS BLVDANTIGO, WI, 544092475Browse WI providers · Browse ZIP 54409
- Phone
- 7156237221
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ANTIGO, WI
| Name | Credential | NPI |
|---|---|---|
| MEGHAN KEELY OBRIEN | DDS | 1194823112 |
| RAYMOND J PORTMAN | DDS | 1053433292 |
| DR. STANLEY ERNEST BROWN | D.D.S. | 1447484928 |
| DENNIS A. ROMERO | D.D.S | 1952600710 |
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.