NPI 1396978458

Eric Warren Peterson, DMD

Practitioner Dentist Leeds, AL

Practice location

Address: 1101 Higrove Pkwy Suite 105, Leeds, AL 35094-1700
Phone: (205) 699-1155
Fax: (205) 699-1159

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5696 (AL)

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Registry record

NPI: 1396978458
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2009
Record last updated: 12 Jan 2011

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.