Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWIN ROY PETERSON, DDS
Active Sole ProprietorEDWIN ROY PETERSON, DDS is a Dentist healthcare provider located in NEVADA, Missouri. NPI 1922012061 is currently active in the NPPES registry. Verify at CMS.
Dentist · NEVADA, MO
Registration Details
- NPI Number
- 1922012061
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.088539992748 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12736 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
629 S MAIN STNEVADA, MO, 647723555Browse MO providers · Browse ZIP 64772
- Phone
- 4176673134
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in NEVADA, MO
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD DEAN SCHOWENGERDT | DDS | 1245249309 |
| ADELA CASA | — | 1558642496 |
| ELIZABETH HOANG | DDS | 1184116170 |
| ABHAY SURESH DALAL | DDS | 1215698840 |
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.