Dr Thomas Rudolph Petersen, DDS - Dentist in Stevens Point, WI

Dr Thomas Rudolph Petersen, DDS is a Dentist - General Practice based in Stevens Point, Wisconsin. Dr Thomas Rudolph Petersen is licensed to practice in Wisconsin (license number WI1187G) and his current practice location is 1501 Plover St, Stevens Point, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (715) 344-2324.

NPI number for Dr Thomas Rudolph Petersen is 1437224094 and his current mailing address is 1501 Plover St, Stevens Point, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437224094.

Contact Information

Dr Thomas Rudolph Petersen, DDS
1501 Plover St,
Stevens Point, WI 54481
(715) 344-2324
Not Available



Healthcare Provider's Profile

Full NameDr Thomas Rudolph Petersen
GenderMale
SpecialityDentist - General Practice
Location1501 Plover St, Stevens Point, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437224094
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Thomas Rudolph Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437224094NPI-NPPES
33564600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice WI1187G (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Rudolph Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Thomas Rudolph Petersen, DDS
1501 Plover St,
Stevens Point, WI 54481

Ph: (715) 344-2324
Dr Thomas Rudolph Petersen, DDS
1501 Plover St,
Stevens Point, WI 54481

Ph: (715) 344-2324

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› Verified 5 days ago


Dentist in Stevens Point, WI

George W Davidson, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3504 E Maria Dr, Stevens Point, WI 54481
Phone: 715-342-8060    Fax: 715-342-0062
Dr. Edward M Bancker, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3504 East Maria Drive, Stevens Point, WI 54481
Phone: 715-342-8060    
Dr. Nicholas Andrew Mueller, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 3504 E Maria Dr, Stevens Point, WI 54481
Phone: 715-342-8060    
Dr. Leroy Joseph Behrens, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2201 Division St, Suite B, Stevens Point, WI 54481
Phone: 715-341-1644    
Corey Carlyle Dike, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2906 Post Rd, Stevens Point, WI 54481
Phone: 715-345-7770    Fax: 715-345-9808
Tara Lynn Jennings, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3216 Business Park Dr, Stevens Point, WI 54481
Phone: 715-341-7171    Fax: 715-341-5160
Dr. Tysen Wood, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5541 Us Highway 10 E, Stevens Point, WI 54482
Phone: 715-230-3333    

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