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Deactivated NPI 1710077540 Deactivated / Inactive NPI Male Practitioner

Dr. Brett T Peterson , DDS

Dentist • Carmichael, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brett Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2006
NPI Deactivation Date May 31, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Brett Peterson, DDS was a registered Dentist practicing in Carmichael, CA. Throughout an active medical career spanning 17 years, Dr. Peterson provided care at the practice location at 6600 MADISON AVE until profile deactivation on 2023-05-31.

Practice Location & Contact Primary Location

Practice Address

6600 Madison Ave
Suite 4a

Carmichael, CA 956080645

Telephone 9169615363
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Carmichael, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
19 Specialists

Practicing in Carmichael, CA (15331 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 33508

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Fonda Webber , DDS

Dentist - General Practice

NPI 1346387479

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
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NPI Profile Deactivated May 31, 2023

Record deactivated on May 31, 2023

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Updated Practice Location February 28, 2022

Registered at 4010 S CHURCH DR, NEW BERLIN, WI 531515608 (Tel: 2627842449)

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Updated Business Mailing Address February 28, 2022

Registered at 4010 S CHURCH DR, NEW BERLIN, WI 531515608 (Tel: 9165136236)

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Updated Practice Location November 18, 2019

Registered at 608 WILLOWOOD DR, SPRINGBORO, OH 450668179 (Tel: 9165136236)

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Updated Business Mailing Address November 18, 2019

Registered at 608 WILLOWOOD DR, SPRINGBORO, OH 450668179 (Tel: 9165136236)

NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 27, 2007

Registered at 6600 MADISON AVE, SUITE 4A, CARMICHAEL, CA 956080645 (Tel: 9169615363)

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Updated Business Mailing Address November 27, 2007

Registered at 6600 MADISON AVE, SUITE 4A, CARMICHAEL, CA 956080645 (Tel: 9169615363)

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Provider Name / Credentials Updated November 27, 2007

Recorded as BRETT PETERSON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Dentist (License #33508 in CA)

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Initial NPI Registration & Enumeration October 13, 2006

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: 1710077540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: November 27, 2007
Deactivation Date: May 31, 2023

Mailing Address

6600 Madison Ave, Suite 4a

Carmichael, CA 956080645

Phone: 9169615363

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.