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Search › Wyoming › 122300000X

Jacob Peterson, DDS

NPI 1407613425 · on the registry since 2024

Practice

Address
5000 Blackmore Rd
Casper, WY 82609
Phone
(307) 233-6000
Fax
(307) 233-6019
Organisation at this address
Community Health Center Of Central Wyoming Inc
Community Health Center Of Central Wyoming Inc
Community Health Center Of Central Wyoming, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-29

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 Wyoming