DR. ALEXANDER JAMES PETERSON (NPI# 1407411218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407411218 |
Entity Type | Individual |
Full Name | DR. ALEXANDER JAMES PETERSON |
Credential | D.D.S. |
Practice Address |
2165 N Telegraph Rd Monroe MI 48162-8947 |
Mailing Address |
2517 Brookwood Dr Midland MI 48640-2430 |
Practice Telephone | 7342431200 |
Mailing Telephone | 9897080236 |
Enumeration Date | 2019-05-07 |
Last Update Date | 2019-06-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 2901600150 | MI | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336502814 | Alexander Bradley Peterson | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gh3900, Lac Usc Department of Orthopaedic Surgery, Los Angeles, CA 90033 | 2016-04-01 |
1750453759 | Alexander Olaf Peterson Jr. | Dermatology | 6185 Agee St, San Diego, CA 92122 | 2006-11-14 |
1447887849 | Alexander Chase Peterson | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm M-53, Lexington, KY 40536-0293 | 2020-03-25 |
Street Address |
2165 N TELEGRAPH RD |
City | MONROE |
State | MI |
Zip Code | 48162-8947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881148195 | Khalid I Ragab | Dentist | 2165 N Telegraph Rd, Monroe, MI 48162-8947 | 2016-08-04 |
1568940393 | Calderon Mi Dental Pllc | Dentist | 2165 N Telegraph Rd, Monroe, MI 48162-8947 | 2018-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
Find all providers in zip 48162 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851934160 | Walton Family Dentistry LLC | Dentist | 862 Michael Etchison Rd, Monroe, GA 30655-8204 | 2019-10-21 |
1306404363 | Laten Edwards Barham | Dentist | 4351 Pecanland Mall Dr, Monroe, LA 71203-7014 | 2019-06-04 |
1932622701 | Rory J Perimenis | Dentist | 324 Elm St Ste 201a, Monroe, CT 06468-2282 | 2017-07-24 |
1598295354 | Kelly Rae Irwin | Dentist | 14650 N Kelsey St Ste 104-105, Monroe, WA 98272-1456 | 2017-06-14 |
1356879118 | Patricia Pass-dudley Dds PC | Dentist | 516 Great Oaks Dr, Monroe, GA 30655-8211 | 2017-05-24 |
1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
1881148195 | Khalid I Ragab | Dentist | 2165 N Telegraph Rd, Monroe, MI 48162-8947 | 2016-08-04 |
1457703696 | Monique Hudson,dds, Pa | Dentist | 2200 Walters Division Rd, Monroe, NC 28110-8562 | 2016-07-12 |
1114302395 | Patrick Burkardt | Dentist | 2015 Heiss Rd, Monroe, MI 48162-9406 | 2015-07-29 |
1417335142 | Michael Doo Hyun Kang | Dentist | 324 Elm St Ste 103a, Monroe, CT 06468-2281 | 2015-05-14 |
Find all providers in MONROE |
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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.