DR. MICHAEL W PETERSON


Address: 1319 Tennessee St, Vallejo, CA 94590
Phone: 7075523160

DR. MICHAEL W PETERSON (NPI# 1134325145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134325145
Entity Type Individual
Full Name DR. MICHAEL W PETERSON
Credential DDS
Practice Address 1319 Tennessee St
Vallejo
CA 94590
Practice Telephone 7075523160
Practice Fax Number 7075529532
Mailing Telephone 7075523160
Mailing Fax Number 7075529532
Enumeration Date 2007-06-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
CA22912 CA Dental Providers

Other Providers MICHAEL PETERSON

NPI Name Taxonomy Address Enumeration
1942794839 Michael Peterson Physician Assistant 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 2018-06-14
1548715634 Michael Latrae Peterson Social Worker 6767 W Windmill Ln, Las Vegas, NV 89139-6501 2016-08-18
1033544119 Michael Robert Peterson Counselor 522 4th St S, Stillwater, MN 55082-4966 2013-09-09
1750651113 Michael Peterson Social Worker 1400 N Hayworth Ave Apt 9, West Hollywood, CA 90046-3836 2012-01-03
1578848131 Michael Dean Peterson Dentist 4710 Amber Valley Pkwy S, Ste A, Fargo, ND 58104 2011-10-14
1467693119 Michael Lamont Peterson Registered Nurse 13 Hollister St, Rochester, NY 14605-1401 2009-03-10
1003062001 Michael Carl Peterson Physical Therapist 2850 Mitchell Rd, Jamestown, NY 14701-8906 2008-08-11
1942472691 Michael E Peterson Dentist 5355 W State St, Boise, ID 83703-3333 2008-04-01
1609079094 Michael Gene Peterson Emergency Medicine 201 E. Nicollet Blvd., Burnsville, MN 55337 2007-06-06
1770634909 Michael Warren Peterson Dermatology 114 East 800 North, Spanish Fork, UT 84660 2007-01-15

Office Location

Street Address 1319 TENNESSEE ST
City VALLEJO
State CA
Zip Code 94590

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265051445 Jaspreet Bains Licensed Vocational Nurse 508 Alabama Street, Vallejo, CA 94590 2020-04-08
1467097527 Deneane Hannon Behavioral Analyst 238 Georgia St. Ste 102, Vallejo, CA 94590 2019-11-13
1780243196 Abla Harara Almoraissi Health Educator John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 2019-06-10
1891264461 Brian Emory Kellogg Marriage & Family Therapist 525 Oregon St., Php/iop, Vallejo, CA 94590 2018-11-13
1952801862 Carica Theresa Saraza Macariola Specialist/Technologist 1007 Solano Avenue, Vallejo, CA 94590 2018-02-16
1770007973 Deborah A Johnson-white Licensed Vocational Nurse 908 Tuolumne, Vallejo, CA 94590 2017-07-29
1306378260 Edgar Diaz Counselor 236 Georgia Street Suite 101, Vallejo, CA 94590 2017-03-30
1528440096 Soren Perry Counselor 236 Georgia St., Vallejo, CA 94590 2015-06-22
1518366327 Kimberly A Holland Counselor 631 Tennessee Street Suite 201, Vallejo, CA 94590 2014-08-18
1841605193 Lawana Lofton Psychologist 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 2014-06-25
Find all providers in zip 94590

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407486988 Thomas Galapon Salacup Dmd Inc Dentist 1512 Napa St Ste B, Vallejo, CA 94590-4416 2020-01-23
1285973602 Kushwantjit Singh Randhawa Dentist 300 Hillary Way Apt 91, Vallejo, CA 94591 2013-02-05
1386954642 Nhi Xuan Huynh Dentist 3400 Sonoma Blvd., Vallejo, CA 94542-1050 2010-10-20
1972811180 Bryan Tao Le Dentist 100 Robin Ct, Vallejo, CA 94591-4120 2010-09-22
1770818031 Manuel Zabat Caro Dentist 1660 Broadway St, Vallejo, CA 94590-2405 2009-10-05
1689833865 Yusuke Suzuki Dentist 211 Cadloni Ln, B, Vallejo, CA 94591-8623 2008-06-03
1831388503 Amy Gail English Dentist 1532 Tennessee St, Vallejo, CA 94590-4627 2007-10-18
1982892048 Gigi Diem Huynh Dentist 3681 Rocky Shore Dr, Vallejo, CA 94591-8381 2007-10-13
1760672588 Clara E. Balancio, Dds, Inc. Dentist 2809 Redwood Pkwy, Vallejo, CA 94591-3634 2007-07-27
1952511040 Ma.angela Perez Dominguez Dentist 1808 Springs Rd, Vallejo, CA 94591-5518 2007-05-23
Find all providers in VALLEJO

Competitor

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City VALLEJO
Zip Code 94590

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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