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Brian R. Peterson, D.D.S., PC

NPI 1568635894ActiveOrganization· Dentist, General Practice· Mesa, AZ

Dentist, General Practice in Mesa, Arizona, registered in NPPES in April 2008. The authorized official on file is Brian Robert Peterson, D.D.S., President.

Overview

NPI1568635894
StatusActive
Entity typeOrganization
NPI issuedApr 8, 2008
Last updated in NPPESApr 8, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X5014AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Mesa

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