Search › Missouri › 122300000X
Ronald Petersen, DDS
NPI 1194830760 · on the registry since 2006
Practice
- Address
- 104 North Main St
Charleston, MO 63834 - Phone
- (573) 683-2101
- Fax
- (573) 683-2102
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri