Provider Demographics
NPI:1245311257
Name:PETERS, DAVID FARRINGTON (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FARRINGTON
Last Name:PETERS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 INDEPENDENCE DR
Mailing Address - Street 2:SUITE#202
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-9000
Mailing Address - Country:US
Mailing Address - Phone:295-423-0900
Mailing Address - Fax:205-423-0930
Practice Address - Street 1:3351 INDEPENDENCE DR
Practice Address - Street 2:SUITE#202
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-9000
Practice Address - Country:US
Practice Address - Phone:205-423-0900
Practice Address - Fax:205-423-0930
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4006122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist