IndividualActive
Abigail Peterson, DMD
NPI 1396915583 · General Practice Dentistry · Philadelphia, PA
Provider details
- NPI number
- 1396915583
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- DS035558 (PA)
Specialties & taxonomies
Dental Providers
Practice location
2821 Island Avenue
Suite 210
Philadelphia, PA 19153-2300
Phone: (215) 492-9291
Fax: (215) 492-5856
Approximate (ZIP-level) locationGet directions
Mailing address
2821 Island Avenue
Philadelphia, PA 19153-2300
Registry dates
- Enumerated
- 2008-03-04
- Last updated
- 2012-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.