Alan Petersen, D.D.S

NPI 1952585507 · on the registry since 2007

Practice

Address: 6755 E Superstition Springs Blvd Ste 201
Mesa, AZ 85206
Phone: (480) 924-2880
Organisation at this address: Az Max Surgeons Plc
East Valley Periodontics
Morley J. Smith, Dmd, Pc
Az Max Dental Implants Plc
Mark S. Hamblin, D.D.S., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-12-18

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