DAVID G PETERSEN (NPI# 1194848655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194848655 |
| Entity Type | Individual |
| Full Name | DAVID G PETERSEN |
| Credential | D.D.S. |
| Practice Address |
123 W Francis Ave Ste 104 Spokane WA 99205-6348 |
| Practice Telephone | 5094833332 |
| Practice Fax Number | 5094839010 |
| Mailing Telephone | 5094833332 |
| Mailing Fax Number | 5094839010 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00004125 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5051750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295112951 | David Petersen | Student in an Organized Health Care Education/Training Program | 1648 N Venetian Way, Saratoga Springs, UT 84045-3150 | 2015-05-01 |
| 1821114968 | David Petersen | Physical Therapist | 164 Circle Dr, Cottontown, TN 37048-4619 | 2007-03-21 |
| 1821145590 | David Sigurd Petersen | Urology | 2121 1st Street A, Moline, IL 61265-7745 | 2007-01-04 |
| 1851482202 | David B Petersen | Ophthalmology | 4400 So 700 E, 100, Salt Lake City, UT 84107 | 2006-09-28 |
| 1942250808 | David James Petersen | Podiatrist | 24191 Paseo De Valencia, Suite E, Laguna Woods, CA 92637-3167 | 2006-05-11 |
| 1669454062 | David Petersen | Registered Nurse | 460 State Rd #7, Ste 300, Royal Palm Beach, FL 33411 | 2005-11-19 |
| 1750363149 | David A Petersen | Orthopaedic Surgery | 361 Hospital Rd Ste 527, Newport Beach, CA 92663-3526 | 2005-11-19 |
| 1225497894 | David Petersen | Nurse Practitioner | 471 Hepburn St, Williamsport, PA 17701-6122 | 2016-02-11 |
| 1679764989 | David H Petersen | Social Worker | 6112 S 1550 E, Ogden, UT 84405-5007 | 2007-08-05 |
| 1164633632 | David Petersen | Counselor | University of Maryland, 1209 Shoemaker Building, College Park, MD 20742-0001 | 2007-05-25 |
| Street Address |
123 W FRANCIS AVE STE 104 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588787048 | Melissa A Johnson | Dentist | 123 W Francis Ave Ste 104, Spokane, WA 99205-6348 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662303 | Dr. Teemu J Scarborough Dds PC | Dentist | 707 W Francis Ave Ste 100, Spokane, WA 99205-6401 | 2020-09-08 |
| 1932682374 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 2807 S Stone St Ste 102, Spokane, WA 99223-4904 | 2018-09-12 |
| 1821582735 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 1520 W Garland Ave Ste A, Spokane, WA 99205-2613 | 2018-06-15 |
| 1689175309 | Evolution Dental Alliance | Dentist | 507 S Washington St Ste 190, Spokane, WA 99204-2608 | 2018-02-27 |
| 1528411600 | Richard G Witter, Dds | Dentist | 3150 E 27th Ave # 200, Spokane, WA 99223-4919 | 2016-07-13 |
| 1922461409 | Michael Davis Dmd Pllc | Dentist | 15 E Central Ave Ste 2, Spokane, WA 99208-1109 | 2016-04-01 |
| 1174938500 | Heather Marie Moore | Dentist | 101 W. Cascade Way Suite 202, Cascade Dental Care, Spokane, WA 99208-6016 | 2014-06-24 |
| 1235550898 | Penelope Walpole | Dentist | 9802 E. Holman Rd, Spokane, WA 99206 | 2013-12-30 |
| 1437590338 | Thomas A Stein | Dentist | 520 S Cowley St Ste 105, Spokane, WA 99202-1315 | 2013-07-09 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| Find all providers in SPOKANE | ||||
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| 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.