National Provider Identifier

Eric L Peterson, DDS

Eric L Peterson, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Elmira Heights, NY and a listed phone number of (607) 733-3616.

NPI 1487091286Elmira Heights, NYGeneral Practice Dentistry

Profile Overview

NPI
1487091286
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
June 03, 2013
Last Updated
June 03, 2013

Practice Location

  • 225 Scottwood Ave
  • Elmira Heights, NY 14903-1322

Phone: (607) 733-3616

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1487091286
Entity Type
Individual
Last Name
Peterson
First Name
Eric
Middle Name
L
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
225 Scottwood Ave
Mailing City
Elmira Heights
Mailing State
NY
Mailing ZIP Code
14903-1322
Mailing Country
US
Mailing Phone
(607) 733-3616
Mailing Fax
(607) 733-1053
Practice Street Address
225 Scottwood Ave
Practice City
Elmira Heights
Practice State
NY
Practice ZIP Code
14903-1322
Practice Country
US
Practice Phone
(607) 733-3616
Practice Fax
(607) 733-1053
Enumeration Date
June 03, 2013
Last Updated
June 03, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)