IndividualActive
Alan Peterson, D.M.D.
NPI 1174975429 · Public Health Dentistry · Atlanta, GA
Provider details
- NPI number
- 1174975429
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 015796 (MO)
Mailing address
601 Mcdonough Blvd Se
Atlanta, GA 30315-4400
Registry dates
- Enumerated
- 2016-07-11
- Last updated
- 2016-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.