Peter W Mohn Jr DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2005030191 Issued in MO

Legal business name

PETER W MOHN JR DDS PC

Doing business as

Family Dentistry

Practice address

700 Branch St
Box 1787
Platte City, MO 64079

Phone

(816) 858-2707

Fax

(816) 858-5005

NPI assigned

Mar 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Peter Winfield Mohn Jr., DDS

Title

Dentist

Phone

(816) 858-2707

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1720300056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BRANCH ST",
            "address_2": "BOX 1787",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "64079",
            "telephone_number": "816-858-2707",
            "fax_number": "816-858-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BRANCH ST",
            "address_2": "BOX 1787",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "64079",
            "telephone_number": "816-858-2707",
            "fax_number": "816-858-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER W MOHN JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "MOHN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "WINFIELD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-858-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2005030191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Platte Co. R-III
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• General Practice Dentistry in Platte City, MO
• Providers in Platte City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.