Hannah Jean Peterman, DMD
Individual provider Active NPI General Practice Dentistry · Wiggins, MS
NPI 1104550896 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1104550896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4315-22 (MS)
- Practice address
- 551 Frontage Dr E
Wiggins, MS 39577-8120 - Phone
- (601) 476-9007
- NPI assigned
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4315-22 | MS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4315-22 | MS | Yes |
Addresses
Primary practice location
551 Frontage Dr E
Wiggins, MS 39577-8120
Mailing address
16170 McKay Rd
Gulfport, MS 39503-7000
Phone (662) 820-9001
Other providers in Wiggins, MS
- Erica R Palmer
- Leslie Parker
- Rebekah Parker
- Robert K Partrige
- Personal Care Home of Wiggins
- Vera Phenice
- Jeffrey N Potter
- Quest Rehab, Inc.
- Aesha Rahman
- Glynnis D Randall
All providers in Wiggins, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.