Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GILMAN PETERSON III, DMD MD
Active Sole ProprietorGILMAN PETERSON III, DMD MD is a Oral & Maxillofacial Surgery healthcare provider located in WINCHESTER, Kentucky. NPI 1871756924 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · WINCHESTER, KY
Registration Details
- NPI Number
- 1871756924
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2008 (18.057468557792 yrs)
- Last Updated
- Mar 9, 2011
- Licenses
-
7976 (KY)7976 (KY)7976 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1303 W LEXINGTON AVEWINCHESTER, KY, 403913100Browse KY providers · Browse ZIP 40391
- Phone
- 8597440677
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
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.