Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORIN DEAN PETERSON, DMD
ActiveLORIN DEAN PETERSON, DMD is a Orthodontics & Dentofacial Orthopedics healthcare provider located in FLAGSTAFF, Arizona. NPI 1699772061 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1699772061
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2005 (21.158401146106 yrs)
- Last Updated
- Jul 17, 2007
- License
-
2803 (AZ)
Practice Information
- Address
-
77 W FOREST AVESTE 107FLAGSTAFF, AZ, 860011482Browse AZ providers · Browse ZIP 86001
- Phone
- 9287732530
- Fax
- 9287732532
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
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.