SearchArizonaOral and Maxillofacial Surgery (Dentist)

Andrew Petersen, D.D.S

NPI 1396883765 · on the registry since 2007

Practice

Address
7400 S Power Rd Ste 136
Gilbert, AZ 85297
Phone
(480) 279-3113
Fax
(480) 279-2741
Organisation at this address
Prd Partners Pllc
Jabez-Blocher, Inc.
Jabez-Blocher, Inc.
The Restore Group Llc
Brigham Woods, Pt, Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-12-21

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 Arizona