Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265675573 Individual Practitioner Male Practitioner

Dr. Peter M Pedalino , DDS

Dentist - General Practice • Elmendorf Afb, AK

Professional Overview & Biography Verified Profile Summary

Dr. Peter Pedalino, DDS is a registered healthcare professional specializing in Dentist - General Practice in Elmendorf Afb, AK. Practice services are available at 5955 ZEAMER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5955 Zeamer Ave

Elmendorf Afb, AK 995063702

Telephone 9075805010
Associated Practice Facility / Clinic
🏢 673d Medgrp-Jber Elmndrf-Rich Facility NPI 1568446524

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elmendorf Afb, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Elmendorf Afb, AK (346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 24432

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Ashley Hudson , DDS, MS

Dentist - Prosthodontics

NPI 1043505613

Doctor of Dental Surgery, Master of Science

Dr. Heather Tellez , DDS

Dentist - General Practice

NPI 1124224308

Doctor of Dental Surgery

NPI 1124647680

Doctor of Dental Surgery

Dr. Ricky Cook , DDS

Dentist - General Practice

NPI 1407837511

Doctor of Dental Surgery

NPI 1508845280

Doctor of Dental Surgery

NPI 1558925669

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 20, 2022

Registered at 5955 ZEAMER AVE, ELMENDORF AFB, AK 995063702 (Tel: 9075805010)

📍
Updated Practice Location April 05, 2018

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681132160 (Tel: 4022943212)

📍
Updated Business Mailing Address April 05, 2018

Registered at 2128 FRANKLIN DR, PAPILLION, NE 681332371 (Tel: 4435342138)

NPI Profile Active April 16, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2009

Registered at 2200 BERGQUIST DR STE 1, LACKLAND AFB TEXAS, LACKLAND A F B, TX 782369908 (Tel: 2106719612)

📍
Updated Business Mailing Address April 16, 2009

Registered at 2200 BERGQUIST DR STE 1ATTN, LACKLAND AFB TEXAS, LACKLAND A F B, TX 782369907 (Tel: 2106719612)

👤
Provider Name / Credentials Updated April 16, 2009

Recorded as PETER PEDALINO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2009

Dentist (License #24432 in TX)

🟢
Initial NPI Registration & Enumeration April 16, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265675573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2009
Last Update: December 20, 2022
Sole Proprietor: No

Mailing Address

2128 Franklin Dr

Papillion, NE 681332371

Phone: 4435342138

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.