Peter Peterson & Jesse Sorrentino PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PETER PETERSON & JESSE SORRENTINO PC

Practice address

291 Farmington Ave
Farmington, CT 06032

Phone

(860) 677-8747

Fax

(860) 674-9670

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter J.M. Peterson, D.M.D.

Title

Partner

Phone

(860) 677-8747

Specialties & licenses 1

Addresses

Other names 1

• John Bierly DMD and Peter Peterson DMD PC Former legal business name

Tax ID family

John a Bierly DMD and Peter J Peterson DMD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• John a. Bierly DMD and Peter J. Peterson DMD, PC

  • Periodontics
  • Avon, CT
  • NPI 1669614772
  NPD tax ID
• Peter Peterson & Jesse Sorrentino P.C.

  • Periodontics
  • Farmington, CT
  • NPI 1215149596
  NPD tax ID

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1841384476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06032",
            "telephone_number": "860-677-8747",
            "fax_number": "860-674-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06032",
            "telephone_number": "860-677-8747",
            "fax_number": "860-674-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER PETERSON & JESSE SORRENTINO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J.M.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-677-8747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Bierly DMD and Peter Peterson DMD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Wenzola Lowe Perry, LCSW
• Personal Growth Services
• Benjamin Pesante
• Natalie Yvonne Pesun
• Peter Peterson & Jesse Sorrentino P.C.
• Jill M Peters-Gee, MD
• Erin Peters, PA-C
• Seana Peters, APRN
• Thomas G Peters, DR DMD
• Douglas E Peterson, DMD

• Periodontics in Farmington, CT
• Providers in Farmington, CT by specialty
• Periodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.