IndividualActive
Bradley Peterson, DDS
NPI 1811058365 · Dentist · Mesquite, NV
Provider details
- NPI number
- 1811058365
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 5115 (NV)
Specialties & taxonomies
Dental Providers
Practice location
61 N Willow St
Suite 1
Mesquite, NV 89027-4785
Phone: (702) 346-2882
Approximate (ZIP-level) locationGet directions
Mailing address
983 Diamond Cir
Mesquite, NV 89027-2932
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.