SearchIndiana122300000X

Austin Peterson, DDS

NPI 1639650187 · on the registry since 2018 · sole proprietor

Practice

Address
3935 E Southport Rd
Indianapolis, IN 46237
Phone
(317) 244-3000
Organisation at this address
Amp Dental
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 3809 Oakwood Mall Dr, Eau Claire, WI

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
WI, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-19

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 Indiana