National Provider Identifier

Betsy L Peterson, DMD

Betsy L Peterson, DMD is listed in the NPPES registry with a primary specialty of Dentist in Ithaca, NY and a listed phone number of (607) 272-2081.

NPI 1730347287Ithaca, NYDentist

Profile Overview

NPI
1730347287
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
May 30, 2008
Last Updated
May 30, 2008

Practice Location

  • 523 W Clinton St
  • Ithaca, NY 14850-5233

Phone: (607) 272-2081

Specialties

  • Dentist (122300000X)
Full Record
NPI
1730347287
Entity Type
Individual
Last Name
Peterson
First Name
Betsy
Middle Name
L
Name Prefix
Dr.
Credential
DMD
Mailing Street Address
523 W Clinton St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5233
Mailing Country
US
Mailing Phone
(607) 272-2081
Mailing Fax
(607) 272-8629
Practice Street Address
523 W Clinton St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5233
Practice Country
US
Practice Phone
(607) 272-2081
Practice Fax
(607) 272-8629
Enumeration Date
May 30, 2008
Last Updated
May 30, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)