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NPI Code Detail

MEDICARE: DR. FREDERICK K PETERS DDS

MEDICARE: DR. FREDERICK K 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 Dentistry12304OH

General Provider Information

NPI Number : 1750341350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERICK K PETERS DDS
Provider Business Mailing Address
First Line : 309 S CHAPEL ST
Second Line :
City : LOUISVILLE
State : OH
Zip : 44641-1612
Country : US
Telephone Number : 330-875-2200
Fax Number : 330-875-2403
Provider Business Practice Location Address
First Line : 309 S CHAPEL ST
Second Line :
City : LOUISVILLE
State : OH
Zip : 44641-1612
Country : US
Telephone Number : 330-875-2200
Fax Number : 330-875-2403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 04/12/2026

Similar Medicare Providers

1194871244 — DR. STEVEN FREDERICK PETERS D.M.D
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1922850841 — FRANKEL DENTISTRY LOUSIVILLE, LLC
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1265416762 — DR. ROBERT P WOODWARD JR. D.C.
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Directions to “ DR. FREDERICK K PETERS DDS” Practice Location

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