DR. ANDREW PETERSEN (NPI# 1396883765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396883765 |
| Entity Type | Individual |
| Full Name | DR. ANDREW PETERSEN |
| Credential | D.D.S |
| Practice Address |
7400 S Power Rd Ste 136 Gilbert AZ 85297-9284 |
| Mailing Address |
4464 S Cobblestone St Gilbert AZ 85297-4588 |
| Practice Telephone | 4802793113 |
| Practice Fax Number | 4802792741 |
| Mailing Telephone | 4807517471 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2017-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7013 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| 1316212517 | Andrew Hunter Petersen | Otolaryngology | 211 W Maple Ave, Fayetteville, WV 25840-1445 | 2012-03-20 |
| 1124011572 | Andrew D Petersen | Family Medicine | 524 W 300 N Ste 203, Provo, UT 84601-2669 | 2005-08-31 |
| 1679962138 | Andrew Jameson Petersen | Social Worker | 167 Polk St, Suite 300, Watertown, NY 13601-2770 | 2015-01-21 |
| 1316346307 | Andrew Petersen | Physician Assistant | 1025 Marsh St, Mankato, MN 56001 | 2014-08-15 |
| 1649513078 | Andrew Wei Petersen | Internal Medicine | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2013-04-04 |
| 1689882235 | Andrew Petersen | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2007-05-18 |
| Street Address |
7400 S POWER RD STE 136 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-9284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477063881 | Sonoma Oral & Facial Surgery, Pllc | Clinic/Center | 7400 S Power Rd Ste 136, Gilbert, AZ 85297-9284 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1952578411 | David Andrew Benson | Dentist | 2680 S Val Vista Dr Ste 164, Gilbert, AZ 85295-1638 | 2008-05-14 |
| 1013192913 | Spencer G Wilson Dds PC | Dentist | 1355 S Higley Rd Ste 106, Gilbert, AZ 85296-4799 | 2008-01-09 |
| 1790986099 | Peter Anderson Spanganberg | Dentist | 7400 S. Power Rd, Suite 136, Gilbert, AZ 85297 | 2007-05-31 |
| 1790333672 | Benjamin Zuniga Dds LLC | Dentist | 33 N Lindsay Rd Ste 101, Gilbert, AZ 85234-5808 | 2019-09-03 |
| 1316324031 | Paul Kelly Maxillofacial PC | Dentist | 726 N Greenfield Rd, Suite #117, Gilbert, AZ 85234-5061 | 2015-05-01 |
| 1205063567 | Brett Wayne Barlow | Dentist | 3329 E Baseline Rd, Gilbert, AZ 85234-2633 | 2009-06-15 |
| 1700020146 | Donovan Hansen | Dentist | 3329 E Baseline Rd, Gilbert, AZ 85234-2633 | 2009-04-29 |
| 1962587394 | Brian A Lilien | Dentist | 2730 S Val Vista Dr, Suite 164, Gilbert, AZ 85295-1675 | 2006-10-25 |
| 1386676922 | Spencer Grant Wilson | Dentist | 1355 S Higley Rd, 106, Gilbert, AZ 85296-4799 | 2006-07-06 |
| Find all providers in GILBERT | ||||
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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.