MEDICARE: DR. LARRY J PETERSON 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
1	122300000X	Dentist	2842	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2842	OTHER		DISTRICT OF COLUMBIA

General Provider Information

NPI Number	:	1518072172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY J PETERSON DDS

Provider Business Mailing Address
First Line	:	1234 19TH ST NW
Second Line	:	SUITE 200
City	:	WASHINGTON
State	:	DC
Zip	:	20036-2407
Country	:	US
Telephone Number	:	202-785-0555
Fax Number	:	202-785-5566

Provider Business Practice Location Address
First Line	:	1234 19TH ST NW
Second Line	:	SUITE 200
City	:	WASHINGTON
State	:	DC
Zip	:	20036-2407
Country	:	US
Telephone Number	:	202-785-0555
Fax Number	:	202-785-5566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1295717312 — DREW E PERMUT, PHD, PC
Practice Location Address:

1234 19TH ST NW , SUITE 800
WASHINGTON, DC
20036-2407

Practice Phone: 202-775-9590
Practice Fax: 202-775-0287

1629056361 — DR. JEFFREY M GITELMAN D.D.S.
Practice Location Address:

1234 19TH ST NW , 508
WASHINGTON, DC
20036-2407

Practice Phone: 202-223-3391
Practice Fax: 202-833-8874

1083644892 — MICHAEL EDWARD KOSSAK D.D.S
Practice Location Address:

1234 19TH ST NW , SUITE # 308
WASHINGTON, DC
20036-2407

Practice Phone: 202-393-6154
Practice Fax: 202-293-1914

1083622153 — DR. SHELDON I. LAPS
Practice Location Address:

1234 19TH ST NW , SUITE 610
WASHINGTON, DC
20036-2407

Practice Phone: 202-223-9020
Practice Fax: 202-728-0874

1295811370 — KAREN J OSTERLE MSSA, LICSW
Practice Location Address:

1234 19TH ST NW , SUITE #901
WASHINGTON, DC
20036-2407

Practice Phone: 202-744-2922
Practice Fax:

1386717528 — DR. WILIAM WINSTON BAUGHMAN JR. DDS
Practice Location Address:

1234 19TH ST NW , SUITE #801
WASHINGTON, DC
20036-2407

Practice Phone: 202-293-1844
Practice Fax:

Directions to “ DR. LARRY J PETERSON DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.