Jerry D. Peterson
General Dentistry · Frisco, CO
UnclaimedNPI 1417246414
- Primary taxonomy
- 122300000X
- Enumerated
- 2011-03-31
- Practice location
- Frisco, CO
- Last NPPES update
- 2011-03-31
State licenses
- CO · Dentist · DENExpiredthrough 2022verify
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.