Hannah Jean Peterman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4315-22 Issued in MS

Practice address

551 Frontage Dr E
Wiggins, MS 39577-8120

Phone

(601) 476-9007

NPI assigned

Jul 11, 2022

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1104550896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 MCKAY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395037000",
            "telephone_number": "662-820-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 FRONTAGE DR E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395778120",
            "telephone_number": "601-476-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "HANNAH",
        "middle_name": "JEAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4315-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica R Palmer
• Leslie Parker
• Rebekah Parker, D.C.
• Robert K Partrige, MD
• Personal Care Home of Wiggins
• Vera Phenice
• Jeffrey N Potter, MD
• Quest Rehab, Inc.
• Aesha Rahman, M.D.
• Glynnis D Randall, F.N.P.

• General Practice Dentistry in Wiggins, MS
• Providers in Wiggins, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.