Craig Peterson, D.M.D
NPI 1467715474 · on the registry since 2012
Practice
- Address
- 6226 14th Ave
Kenosha, WI 53143 - Phone
- (262) 656-0044
- Organisation at this address
- Kenosha Community Health Center, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-25
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 Wisconsin