Provider Demographics
NPI:1689654857
Name:DREWS, PETER JOHANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:JOHANN
Last Name:DREWS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVAL HEALTH CLINIC , DENTAL DEPT
Mailing Address - Street 2:PSC 451
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09834-2800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:471 SABATTUS ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-4112
Practice Address - Country:US
Practice Address - Phone:207-782-5308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-22
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN40641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice