ROYCE T PETERSON (NPI# 1437283165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437283165 |
| Entity Type | Individual |
| Full Name | ROYCE T PETERSON |
| Credential | D.M.D. |
| Practice Address |
3100 N West St Ste 100 Flagstaff AZ 86004-1651 |
| Practice Telephone | 9287790331 |
| Mailing Telephone | 9287790331 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D6624 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598038317 | Royce G Peterson | Pharmacist | 700 Campbell St, Baker City, OR 97814-2212 | 2012-02-10 |
| Street Address |
3100 N WEST ST STE 100 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477907863 | Kyle Hobson | Dentist | 3100 N West St Ste 100, Flagstaff, AZ 86004-1651 | 2016-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| 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 |
|---|---|---|---|---|
| 1194341776 | Christian Jesus Mendoza | Dentist | 710 N Beaver St Bldg 2, Flagstaff, AZ 86001-3145 | 2020-06-19 |
| 1689237547 | Taylor Hunt | Dentist | 1600 W University Ave Ste 113, Flagstaff, AZ 86001-3154 | 2019-04-17 |
| 1386033629 | Flagstaff Modern Dentistry | Dentist | 304 S Regent St, Suite 101, Flagstaff, AZ 86001 | 2015-01-09 |
| 1083942940 | Vaughn Milton Oliver | Dentist | 1953 E Y X Ranch Rd, Flagstaff, AZ 86001-9407 | 2009-12-03 |
| 1093957946 | Louis Richard Haag | Dentist | 1815 N. Thistle Rd., Flagstaff, AZ 86004 | 2009-03-24 |
| 1073709366 | Brandon John Tilts | Dentist | 518 N Beaver St, Suite A, Flagstaff, AZ 86001-3020 | 2007-09-20 |
| 1104049089 | Flagstaff Dental Group, Pllc | Dentist | 10 W Hunt Ave, Flagstaff, AZ 86001-3018 | 2007-04-10 |
| 1619018041 | Lawrence Alan Winse | Dentist | 2708 N 4th St, Ste F2, Flagstaff, AZ 86004 | 2007-02-09 |
| 1427198522 | John Leonard Bacon | Dentist | 323 N Leroux St Ste 100, Flagstaff, AZ 86001-4542 | 2007-02-07 |
| 1255496238 | Thomas J Grabarek | Dentist | 304 S Humphreys St, Flagstaff, AZ 86001-5623 | 2006-12-27 |
| Find all providers in FLAGSTAFF | ||||
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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.