William M. Petersen, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WILLIAM M. PETERSEN, D.D.S., P.C.

Doing business as

The Old Firehouse Dental Office

Practice address

2532 W Francis Ave
Spokane, WA 99205-7012

Phone

(509) 325-4227

Fax

(509) 326-7180

NPI assigned

May 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Marc Petersen, D.D.S.NPI 1336276948

Title

President

Phone

(509) 325-4227

Specialties & licenses 1

Addresses

Other names 1

• The Old Firehouse Dental Office Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Marc Petersen, D.D.S, P.C.

  • General Practice Dentistry
  • Spokane, WA
  • NPI 1336276948
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1053521393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 W FRANCIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992057012",
            "telephone_number": "509-325-4227",
            "fax_number": "509-326-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 W FRANCIS AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992057012",
            "telephone_number": "509-325-4227",
            "fax_number": "509-326-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M. PETERSEN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-325-4227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Old Firehouse Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Willett, SUDPT
• Bonnie June Willey, MA, MFT
• William a. Wray MD, PLLC
• William F Corell MD
• William L. Brown, MD, PLLC
• Tracy Williams Davis
• Alan Charles Williams, CO
• Alicia Williams, MT
• Allison Lee Williams
• Amy Elizabeth Williams

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.