National Provider Identifier
John R Peterson, DDS
John R Peterson, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 342-3847.
Profile Overview
- NPI
- 1457476723
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- March 19, 2007
- Last Updated
- July 08, 2007
Practice Location
- 3207 Saint Paul Blvd
- Rochester, NY 14617-3436
Phone: (585) 342-3847
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1457476723
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- John
- Middle Name
- R
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 3207 Saint Paul Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-3436
- Mailing Country
- US
- Mailing Phone
- (585) 342-3847
- Practice Street Address
- 3207 Saint Paul Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-3436
- Practice Country
- US
- Practice Phone
- (585) 342-3847
- Enumeration Date
- March 19, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)