Jacob Dean Peterson, DDS

NPI #1407613425 in Casper, Wyoming

Provider Information

NPI Number: 1407613425
Entity Type: Individual
Name: Jacob Dean Peterson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 5, 2024
Last Updated: Jan 29, 2025

Practice Location

Address: 5000 BLACKMORE RD
City: Casper
State: Wyoming
ZIP Code: 82609-3345
Phone: (307) 233-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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