MATHEW PETERSEN DDS PC


Address: 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001
Phone: 5755274746

MATHEW PETERSEN DDS PC (NPI# 1457886913) 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) 1457886913
Entity Type Organization
Organization Name MATHEW PETERSEN DDS PC
Other Organization Name LAS CRUCES DENTAL SOLUTIONS
Practice Address 2001 E. Lohman Ave. Suite 121
Las Cruces
NM 88001
Mailing Address 2001 E Lohman Ave
121
Las Cruces
NM 88001-3167
Practice Telephone 5755274746
Mailing Telephone 5755274746
Enumeration Date 2017-04-21
Last Update Date 2017-04-21
Authorized Official Name MATHEW PETERSEN (CEO, PRINCIPAL)
Authorized Official Telephone 4802336944
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DD3330 NM Dental Providers

Other Provider/Organization Names

Other Name Type Code
Las Cruces Dental Solutions Doing Business As Name - Organization

Office Location

Street Address 2001 E. LOHMAN AVE. SUITE 121
City LAS CRUCES
State NM
Zip Code 88001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760020044 Three Crosses Regional Hospital LLC General Acute Care Hospital 2560 Samaritan Drive, Las Cruces, NM 88001 2019-12-17
1760961908 Halcyon Health of The Southwest, LLC Nurse Practitioner 1355 California Ave Ste B, Las Cruces, NM 88001 2018-08-08
1255818530 Lago Claro, LLC Counselor 2410 S. Espina St, Las Cruces, NM 88001 2018-07-19
1407371818 Elijah Daniel Perez Behavior Technician 1535 Myrtle Ave, Las Cruces, NM 88001 2017-08-07
1982128641 Krystal Marie Ruiz Psychologist 505 S. Main, Ste. 249, Las Cruces, NM 88001 2017-08-03
1801343439 Celia Holmes Registered Nurse 505 S Main, Ste 249, Las Cruces, NM 88001 2016-09-01
1427420223 Sara Guidetti Family Medicine 3080 Breland Drive, Las Cruces, NM 88001 2015-10-20
1679987234 Maria De Jesus Martinez Nurse Practitioner 1170 N. Solano Ste A, Las Cruces, NM 88001 2014-06-11
1851701494 Viola E Garcia Case Manager/Care Coordinator 100 W Griggs, Las Cruces, NM 88001 2014-05-05
1851701015 Sergio Esparza Home Health Aide 800 El Paseo Rd., Las Cruces, NM 88001 2014-04-28
Find all providers in zip 88001

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760090880 Elizabeth Hays Dentist 1405 S Valley Dr Ste 300, Las Cruces, NM 88005-3132 2020-07-15
1114418704 Narek Akopyan Dentist 3340 Rinconada Blvd Ste 2, Las Cruces, NM 88011-7194 2018-05-20
1508397555 Debbie L Ashida, Dds PC Dentist 1001 E Boutz Rd, Las Cruces, NM 88001-4207 2017-03-22
1841602455 Howard M. Achen, Dds Dentist 225 E Idaho Ave Ste 14, Las Cruces, NM 88005-3241 2014-05-30
1972936235 Children's Dental At Sonoma Dentist 3340 Rinconada Blvd, Suite 2b, Las Cruces, NM 88011 2013-08-09
1144513508 Familia Dental Las Cruces LLC Dentist 1025 El Paseo Rd, Las Cruces, NM 88001-6029 2011-05-18
1841517505 Falon Dean Waisath Dentist 530 N Telshor Blvd Ste A, Las Cruces, NM 88011-8243 2010-04-21
1750531091 Ortiz Family Dental, LLC Dentist 2141 Hammerand Ct Ste B, Las Cruces, NM 88011-8250 2008-09-23
1366690216 Affordable Dental LLC Dentist 1423 Don Roser Dr., Las Cruces, NM 88011-4515 2008-09-04
1801044938 Affordable Dental Dentist 301 E. Lohman, Las Cruces, NM 88001 2008-09-03
Find all providers in LAS CRUCES

Competitor

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City LAS CRUCES
Zip Code 88001

Improve Information

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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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