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NPI Code Detail

MEDICARE: GARY H PETERS DDS

MEDICARE:   GARY H PETERS  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry030886NY

General Provider Information

NPI Number : 1326106717
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY H PETERS DDS
Provider Business Mailing Address
First Line : 766 RIDGE RD
Second Line :
City : WEBSTER
State : NY
Zip : 14580-2449
Country : US
Telephone Number : 585-671-6448
Fax Number : 585-671-6469
Provider Business Practice Location Address
First Line : 766 RIDGE RD
Second Line :
City : WEBSTER
State : NY
Zip : 14580-2449
Country : US
Telephone Number : 585-671-6448
Fax Number : 585-671-6469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 04/12/2026

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Directions to “ GARY H PETERS DDS” Practice Location

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