Doctor Name: | DR. SCOTT C PETERS |
NPI Number: | 1285637199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D. |
License Number: | DI 18951 |
Business Practice Address: | 156 Ramapo Valley Rd Mahwah, NJ - 074301199 |
Business Phone Number: | 2015299000 |
Business Fax Number: | |
Mailing Address: | 156 Ramapo Valley Rd, MAHWAH |
State: | NJ |
Postal Code: | 074301199 |
Phone Number: | 2015299000 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DI 18951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |