DR. MARK B. PETERSON


Address: 2521 Stockton Blvd, Sacramento, CA 95817-2207
Phone: 9167345408

DR. MARK B. PETERSON (NPI# 1356326706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356326706
Entity Type Individual
Full Name DR. MARK B. PETERSON
Credential D.D.S.
Practice Address 2521 Stockton Blvd
Sacramento
CA 95817-2207
Practice Telephone 9167345408
Practice Fax Number 9167341299
Mailing Telephone 9167345408
Mailing Fax Number 9167341299
Enumeration Date 2005-12-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
23361 CA Dental Providers

Other Providers MARK PETERSON

NPI Name Taxonomy Address Enumeration
1164069696 Mark Alan Peterson In Home Supportive Care 5870 Nw 54th Ct, Johnston, IA 50131-1418 2019-12-03
1841474012 Mark Frederic Peterson I Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3351 36th St, Grand Rapids, MI 49331 2007-12-24
1780877258 Mark A. Peterson Counselor 7322 Scenic Oaks Cir, Austin, TX 78745-5217 2007-08-19
1871702076 Mark Clayton Peterson Dentist 1600 W Sunset Rd Ste B, Henderson, NV 89014-2655 2007-05-22
1558481366 Mark Theodore Peterson Specialist 5712 Newburg Rd, Rockford, IL 61108-6707 2007-03-29
1073608170 Mark A Peterson Dentist 7740 Bay St, Suite # 1, Sebastian, FL 32958-3427 2006-10-04
1689782864 Mark L Peterson Dentist 127 1/2 E Short St, Rigby, ID 83442-1422 2006-08-28
1528013661 Mark Edward Peterson Dentist 2440 Gaynor Nw, Grand Rapids, MI 49544-1830 2006-05-24
1699763607 Mark Delano Peterson Orthopaedic Surgery 1311 E Barnett Rd, Ste 201, Medford, OR 97504-8225 2005-10-12
1477551836 Mark Dean Peterson Chiropractor 5406 Alderson St, Schofield, WI 54476-2264 2005-07-11

Office Location

Street Address 2521 STOCKTON BLVD
City SACRAMENTO
State CA
Zip Code 95817-2207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548267867 Robert David Lyons Dentist 2521 Stockton Blvd, Dental Clinic, Glassrock Building, Sacramento, CA 95817-2207 2005-07-01
1831798636 Cynthia A Steele Registered Nurse 2521 Stockton Blvd, Sacramento, CA 95817-2207 2020-10-22
1679118095 Rodrigo Garcia Almirol Jr. Registered Nurse 2521 Stockton Blvd, Sacramento, CA 95817-2207 2019-11-08
1487115291 Diana Yasmin Arellano Registered Nurse 2521 Stockton Blvd, Sacramento, CA 95817-2207 2019-03-26
1609335462 Julia Grissinger Registered Nurse 2521 Stockton Blvd, Sacramento, CA 95817-2207 2019-03-19
1659880177 Nogah Hannah Nativ Speech-Language Pathologist 2521 Stockton Blvd, Sacramento, CA 95817-2207 2017-09-27
1528598026 Megan Brown Registered Nurse 2521 Stockton Blvd, Sacramento, CA 95817-2207 2017-06-16
1477083533 Jessica Pietrowski Speech-Language Pathologist 2521 Stockton Blvd, Sacramento, CA 95817-2207 2017-06-12
1952836058 Farrukh Rasool Virani Student in an Organized Health Care Education/Training Program 2521 Stockton Blvd, Ste 7200, Sacramento, CA 95817-2207 2017-04-26
1710412036 Lindsay Olinde Student in an Organized Health Care Education/Training Program 2521 Stockton Blvd, Ste. 7200, Sacramento, CA 95817-2207 2017-04-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346855103 Quintin Kuse Student in an Organized Health Care Education/Training Program 4610 X Street, Sacramento, Sacramento, CA 95817 2020-09-09
1285259283 Uc Davis Health Dietitian, Registered 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 2020-06-15
1942840558 Michael Marchand-gareau Ophthalmology Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 2020-01-11
1467010728 Jiunn Liang Jonathan Yap Student in an Organized Health Care Education/Training Program 4860 Y Str, Ste. 2820, Sacramento, CA 95817 2019-06-03
1083176614 Kevin Lee Student in an Organized Health Care Education/Training Program 2315 Stockton Blvd, Op512, Sacramento, CA 95817 2019-04-02
1508326703 Ritika Johal Student in an Organized Health Care Education/Training Program 4150 V Street, Pssb 1200, Sacramento, CA 95817 2019-03-22
1811468838 Paige Palsgaard Behavior Technician 6730 4th Ave Apt 1731d, Sacramento, CA 95817 2018-12-17
1922503408 Marie Rossi Student in an Organized Health Care Education/Training Program 4150 V Street #1100, Sacramento, CA 95817 2018-03-27
1639673791 Sean Lam Student in an Organized Health Care Education/Training Program 4150 V Street #1200, Sacramento, CA 95817 2018-03-22
1124555388 Tatyana Polyak Surgery 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 2017-05-18
Find all providers in zip 95817

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710176086 Robert E. Gillis, Jr, Dmd, Msd, A Professional Corporation Dentist 3000 L St Ste 205, Sacramento, CA 95816-5248 2007-10-23
1205046299 Jeffrey Yngve Nordlander Dentist 6409 Folsom Blvd # 2, Sacramento, CA 95819-4620 2007-05-22
1831212562 Daesoon Kim Dentist 1724 Professional Dr, Sacramento, CA 95825-2105 2007-04-09
1780702480 Herlin Kaur Dyal Dentist 6409 Folsom Blvd, Suite #2, Sacramento, CA 95819-4620 2007-03-27
1083704530 Gerald Yang Dentist 5401 Arnold Avenue, Sacramento, CA 95652 2006-10-13
1538188016 Jeffrey G Light Dentist 2650 21st St Ste 3, Sacramento, CA 95818-2539 2006-07-18
1811241664 Ronald Robert Larsen Dentist 1870 Avondale Ave, Suite 5, Sacramento, CA 95825-1388 2012-11-01
1982855169 Diana Caroline Fat Dentist 2131 Capitol Ave, Suite 300, Sacramento, CA 95816-5755 2008-10-06
1245440957 Brock Hinton Dentist 6409 Folsom Blvd, Sacramento, CA 95819-4620 2007-05-23
1982704151 Michael A. Mikitka Dentist 1675 Alhambra Blvd, Suite F, Sacramento, CA 95816-7047 2006-09-25
Find all providers in SACRAMENTO

Competitor

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City SACRAMENTO
Zip Code 95817

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Dataset Information

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.

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