Dr. Thomas Rudolph Petersen is a Stevens Point, Wisconsin based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Thomas Rudolph Petersen is WI1187G for General Practice Dentistry in Wisconsin. His current practice location is 1501 Plover St, Stevens Point. Patients can reach him at 715-344-2324.
Dr. Thomas Rudolph Petersen is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Thomas Rudolph Petersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Thomas Rudolph Petersen
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1501 Plover St, Stevens Point, Wisconsin, 54481
Phone:
715-344-2324
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1437224094
NPI Enumeration Date:
21 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Thomas Rudolph Petersen are as mentioned below.
License Number
Specialization
State
Status
WI1187G
General Practice Dentistry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Thomas Rudolph Petersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33564600
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1501 Plover St, Stevens Point, Wisconsin
Zip:
54481
Phone Number:
715-344-2324
Patients can reach Dr. Thomas Rudolph Petersen at 1501 Plover St, Stevens Point, Wisconsin or can call to book an appointment on 715-344-2324. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.