Daniel Bryce Petersen, DMD

Practice location

Address

420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100

Phone

(803) 895-6951

Registered specialties

Registry record

NPI

1003498825

Entity type

Individual

Sex (as registered)

Male

NPI issued

21 Apr 2021

Record last updated

25 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.