Andrew a. Peterson DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022192 Issued in OH

Legal business name

ANDREW A. PETERSON DDS LTD

Practice address

300 W Wallace St
Suite A3
Findlay, OH 45840-1242

Phone

(419) 422-7640

Fax

(419) 422-3025

NPI assigned

Sep 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Alan Peterson, D.D.S.NPI 1134379530

Title

Owner

Phone

(419) 422-7640

Specialties & licenses 1

Addresses

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.

• Andrew Alan Peterson, DDS

  • General Practice Dentistry
  • Findlay, OH
  • NPI 1134379530
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912007113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WALLACE ST",
            "address_2": "SUITE A3",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401242",
            "telephone_number": "419-422-7640",
            "fax_number": "419-422-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WALLACE ST",
            "address_2": "SUITE A3",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401242",
            "telephone_number": "419-422-7640",
            "fax_number": "419-422-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW A. PETERSON DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-422-7640",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erin Andersen
• Bill J Anderson, D.D.S.
• Krista N Anderson
• Shelly Renee Andrus
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• General Practice Dentistry in Findlay, OH
• Providers in Findlay, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.