STEPHAN L PETERSON (NPI# 1225197841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225197841 |
| Entity Type | Individual |
| Full Name | STEPHAN L PETERSON |
| Credential | DDS |
| Practice Address |
240 Locust St Dover NH 03820 |
| Practice Telephone | 6037426546 |
| Practice Fax Number | 6037427043 |
| Mailing Telephone | 6037426546 |
| Mailing Fax Number | 6037427043 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2016-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1725 | NH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FED BC BS | 0202034Y0NH01 | 01 | |
| ME | MAINE CARE | 139950000 | 01 |
| NH | 89192034 | 05 |
| Street Address |
240 LOCUST ST |
| City | DOVER |
| State | NH |
| Zip Code | 03820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962746545 | Peterson Family Dental Pllc | Dentist | 240 Locust St, Dover, NH 03820-4034 | 2012-11-20 |
| 1528353471 | Jessica Ann Peterson | Dentist | 240 Locust St, Dover, NH 03820-4034 | 2011-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700312527 | Michael James Moeller | Dentist | 748 S New St Ste C, Dover, DE 19904-3573 | 2017-05-11 |
| 1497203814 | New Smile Dental | Dentist | 411 Us Highway 46, Dover, NJ 07801-3709 | 2016-09-14 |
| 1134571565 | Kehan Li | Dentist | 60 Wolf Creek Blvd, Dover, DE 19901-4971 | 2016-07-11 |
| 1609235787 | Dowell Dental Holdings Dover LLC | Dentist | 328 Race St, Dover, OH 44622-2930 | 2016-02-17 |
| 1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
| 1447671805 | Kelly Michele Hollis | Dentist | 2320 Dogwood Road, Dover, PA 17315 | 2014-01-02 |
| 1235402496 | Access Dental, LLC | Dentist | 446a S New St, Dover, DE 19904-6725 | 2012-02-20 |
| 1740417096 | Joseph A Loboda IIi | Dentist | 66 E Mcfarlan St Ste 3, Dover, NJ 07801-3533 | 2009-06-14 |
| 1275790990 | Scott W. Booth | Dentist | 404 N Walnut St, Dover, OH 44622-2850 | 2008-05-20 |
| 1710198163 | Dennis Louis Errichiello | Dentist | 411 Rt. 46 East, Dover, NJ 07801 | 2007-05-25 |
| Find all providers in DOVER | ||||
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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.