TONY LEROY PETERSON (NPI# 1053302075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053302075 |
| Entity Type | Individual |
| Full Name | TONY LEROY PETERSON |
| Credential | DDS |
| Practice Address |
1050 S 8th St Colorado Springs CO 80905-7307 |
| Practice Telephone | 7196338455 |
| Mailing Telephone | 7196338455 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2014-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
1236 | WY | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10364 | CO | Dental Providers |
| Street Address |
1050 S 8TH ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80905-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635011 | Stephen J Colm | Dentist | 1050 S 8th St, Colorado Springs, CO 80906-1307 | 2005-08-02 |
| 1487176376 | Andrea Faye Montano | Dentist | 1050 S 8th St, Colorado Springs, CO 80905-7307 | 2017-07-12 |
| 1750696480 | William R. Hilton | Dentist | 1050 S 8th St, Colorado Springs, CO 80905-7307 | 2010-08-18 |
| 1699973636 | Marmar Modarressi | Dentist | 1050 S 8th St, Colorado Springs, CO 80906-1307 | 2007-07-10 |
| 1811018211 | Perfect Teeth - South 8th Street P.C. | Dentist | 1050 S 8th St, Colorado Springs, CO 80906-1307 | 2007-04-03 |
| 1952350118 | Jason Andrew Messingham | Dentist | 1050 S 8th St, Colorado Springs, CO 80906-1307 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1437676970 | Cara Boss | Physical Therapy Assistant | 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 | 2017-08-25 |
| 1720537509 | Rhianon Leigh Davis | Physical Therapy Assistant | 810 Arcturus Drive, Colorado Springs, CO 80905 | 2016-09-22 |
| 1861878639 | Melissa Bernstein-linan | Counselor | 1301 S 8th St Ste 200, Colorado Springs, CO 80905 | 2015-08-04 |
| 1376973669 | Kierstie Cameron | Counselor | 875 W. Moreno Ave, Colorado Springs, CO 80905 | 2013-11-22 |
| 1215294301 | Nancy J. Beach | Counselor | 1355 S 8th St Ste 206, Colorado Springs, CO 80905 | 2012-04-13 |
| 1699096107 | Hinds' Feet Adventures | Counselor | 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 | 2010-06-18 |
| 1396067310 | Pinnacle Family Medicine, Pllc | Family Medicine | 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 | 2010-02-17 |
| 1710154018 | Amy Lee Moore | Counselor | 875 W. Moreno, Colorado Springs, CO 80905 | 2008-05-15 |
| 1386786598 | Pia Hillevi Schalin | Family Medicine | 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 | 2007-02-13 |
| Find all providers in zip 80905 | ||||
| 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 |
|---|---|---|---|---|
| 1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
| 1689167280 | Cheyenne Mountain Oral Surgery PC | Dentist | 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 | 2018-06-08 |
| 1467964858 | David Andrew Benson, Dds, Pllc | Dentist | 6160 Tutt Blvd Ste 250, Colorado Springs, CO 80923-1500 | 2017-10-25 |
| 1568850725 | Steven F. Reck, Dds, PC | Dentist | 7310 Rangewood Dr, Suite 200, Colorado Springs, CO 80918-7701 | 2014-12-22 |
| 1942565197 | Pavol Porazik | Dentist | 7136 N Academy Blvd, Colorado Springs, CO 80920 | 2012-07-12 |
| 1982800264 | Dr. Robert C. Christiansen Dds PC | Dentist | 3100 N Academy Blvd Ste 213, Colorado Springs, CO 80917-5332 | 2007-06-25 |
| 1376663641 | Oral Surgery Associates of Colorado Springs, P.C. | Dentist | 5745 Erindale Dr Ste 100, Colorado Springs, CO 80918-8902 | 2007-03-30 |
| 1952447724 | Robert Malcolm Igo | Dentist | 1304 N Academy Boulevard, Suite 205, Colorado Springs, CO 80909-3318 | 2007-01-29 |
| 1952367096 | James David Vetter | Dentist | 1755 Telstar Dr, Suite 210, Colorado Springs, CO 80920-1016 | 2006-04-26 |
| 1366413361 | Harry Richard Cole Jr. | Dentist | 1755 Telstar Dr Ste 250, Colorado Springs, CO 80920-1016 | 2006-01-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80905 |
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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.