Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTT T PETERSON, D.M.D. M.S.
Active Sole ProprietorDR. SCOTT T PETERSON, D.M.D. M.S. is a Orthodontics healthcare provider located in LAVEEN, Arizona. NPI 1619413093 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · LAVEEN, AZ
Registration Details
- NPI Number
- 1619413093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2017 (9.5523980207644 yrs)
- Last Updated
- Jan 10, 2017
- License
-
D009577 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5235 W BASELINE RD#187LAVEEN, AZ, 853393122Browse AZ providers · Browse ZIP 85339
- Phone
- 6026058811
- Primary Specialty
-
Orthodontics
1223X0400X
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.