Franklin E. Peterson DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053165 Issued in NY

Legal business name

FRANKLIN E. PETERSON DDS

Practice address

111 N Country Rd
Port Jefferson, NY 11777-2605

Phone

(631) 473-4400

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Sara Grace, DDS

Title

Dentist

Phone

(631) 473-4400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1992171441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N COUNTRY RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772605",
            "telephone_number": "631-473-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N COUNTRY RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772605",
            "telephone_number": "631-473-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN E. PETERSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-473-4400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marissa Freking
• Paul Fritz, MD

• General Practice Dentistry in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.