DR. PETER J. M. PETERSON (NPI# 1508959099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508959099 |
| Entity Type | Individual |
| Full Name | DR. PETER J. M. PETERSON |
| Credential | D.M.D. |
| Practice Address |
625 Hopmeadow St. Simsbury CT 06070 |
| Mailing Address |
215 Ballard Dr West Hartford CT 06119 |
| Practice Telephone | 8606585552 |
| Practice Fax Number | 8606518569 |
| Mailing Telephone | 8602331802 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
7255 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043515919 | Peter Peterson | Counselor | 1801 S Alameda St, Suite 150, Corpus Christi, TX 78404-2932 | 2011-01-24 |
| 1659483089 | Peter C Peterson | Psychologist | 414 N 7th St, Bismarck, ND 58501-4423 | 2006-08-31 |
| Street Address |
625 HOPMEADOW ST. |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225450620 | Nataly Edmee Lapin | Counselor | 1243 Hopmeadow St Ste D, Simsbury, CT 06070 | 2014-01-20 |
| 1689950545 | Mary Beth Walsh | Pharmacist | 540 Bushy Hill Road, Simsbury, CT 06070 | 2011-10-24 |
| 1437335700 | Lisa Hope Cooperman | Dietitian, Registered | 8 Wilcox St, Simsbury, CT 06070 | 2008-01-16 |
| 1790974657 | State of Connecticut | Durable Medical Equipment & Medical Supplies | 381 Hopmeadow Street, Simsbury, CT 06070 | 2007-10-17 |
| 1104025378 | Michelle-lisa Weller Voegtle | Counselor | 2 Westridge Drive, Simsbury, CT 06070 | 2007-07-17 |
| 1285851287 | Richard Connolly-walker | Chiropractor | 530 Bushy Hill Road, Suite 200, Simsbury, CT 06070 | 2007-04-19 |
| 1801012943 | Eastern Rehabilitation Network | Physical Therapist | 200 Hopmeadow Street, Eastern Rehabilitation Network, Simsbury, CT 06070 | 2007-04-17 |
| 1104049956 | Philip Emil Pilon | Dentist | 625 Hopmeadow Street, Simsbury, CT 06070 | 2007-04-10 |
| 1215054929 | Valley Psychiatry LLC | Nurse Practitioner | 542 Hopmeadow St, Simsbury, CT 06070 | 2007-03-26 |
| 1225162522 | Anthony J Zukowski | Physical Therapist | 923 Hopmeadow Street, Simsbury, CT 06070 | 2007-03-16 |
| Find all providers in zip 06070 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275626889 | John A Bierly | Dentist | 625 Hopmeadow St, Simsbury, CT 06070 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384966 | Connecticut Periodontal & Implant Associates | Dentist | 1080 Day Hill Rd Ste 101, Windsor, CT 06095-1781 | 2020-07-23 |
| 1790212348 | Vidushi Gupta | Dentist | 546 S Broad St Ste 2d, Meriden, CT 06450-6601 | 2017-05-15 |
| 1184057192 | Hamden Family Dental Center | Dentist | 4193 Whitney Ave, Hamden, CT 06518-1212 | 2013-08-13 |
| 1649618901 | Avon Center Dentistry | Dentist | 19 Ensign Drive, Avon, CT 06001 | 2013-06-10 |
| 1487900528 | Amazing Smiles LLC | Dentist | 148 East Ave Ste 1b, Norwalk, CT 06851-5727 | 2012-07-26 |
| 1851614002 | Patricia I Diaz-moreno | Dentist | 263 Farmington Ave # Mc2820, Farmington, CT 06030-2820 | 2010-03-02 |
| 1003045675 | Sejal Thacker | Dentist | 82 Spring Lane, West Hartford, CT 06107 | 2009-07-04 |
| 1013144039 | Stella L. Laskowski | Dentist | 74 Palomba Drive, Enfield, CT 06082 | 2009-06-17 |
| 1407019557 | Nicole Ann Marquis | Dentist | 51 Boston Post Rd, Suite 10, Madison, CT 06443-2155 | 2008-07-09 |
| 1851562466 | Arthur Fred Dean | Dentist | 489 Route 184, Suite 201, Groton, CT 06340-6227 | 2008-03-23 |
| Find all providers with the same taxonomy | ||||
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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.