National Provider Identifier
Courtney Peterson, DMD
Courtney Peterson, DMD is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Buffalo, NY and a listed phone number of (716) 898-1736.
Profile Overview
- NPI
- 1649658691
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- May 11, 2015
- Last Updated
- July 09, 2019
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-1736
Mailing Address
- 908 Niagara Falls Blvd Ste 208
- North Tonawanda, NY 14120-2019
Specialties
- Pediatric Dentistry (1223P0221X)
- Dentist (122300000X)
Full Record
- NPI
- 1649658691
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Courtney
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 908 Niagara Falls Blvd Ste 208
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-1736
- Enumeration Date
- May 11, 2015
- Last Updated
- July 09, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X), Dentist (122300000X)