Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013073568 Individual Practitioner Male Practitioner

Dr. Peter S Chen , DMD, MMSC

Dentist - Endodontics • Clermont, FL

Professional Overview & Biography Verified Profile Summary

Dr. Peter Chen, DMD, MMSC is a registered healthcare professional specializing in Dentist - Endodontics in Clermont, FL. Practice services are available at 1471 JOHNS LAKE RD STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1471 Johns Lake Rd Ste 1

Clermont, FL 34711

Telephone 6177841970
Associated Practice Facility / Clinic
🏢 Pc Endo South Pa Facility NPI 1942689807

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Clermont, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Clermont, FL (536 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License FL 17794

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License MA 20256

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross & Blue Shield
X11812 (MA)
Commercial Insurance / Payer ID Npi Type 2
1942689807 (FL)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 20, 2018

Registered at 1471 JOHNS LAKE RD STE 1, CLERMONT, FL 34711 (Tel: 6177841970)

📍
Updated Business Mailing Address June 20, 2018

Registered at 1471 JOHNS LAKE RD STE 1, CLERMONT, FL 347117005 (Tel: 6177841970)

NPI Profile Active November 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2010

Registered at 835 7TH ST, SUITE 5, CLERMONT, FL 347112190 (Tel: 3524045550)

📍
Updated Business Mailing Address November 17, 2010

Registered at 1192 BRANTLEY ESTATES DR, ALTAMONTE SPRINGS, FL 327145614 (Tel: 6177841970)

👤
Provider Name / Credentials Updated November 17, 2010

Recorded as PETER CHEN, D.M.D., M.M.SC.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2010

Dentist (License #17794 in FL)

🟢
Initial NPI Registration & Enumeration December 29, 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: 1013073568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2006
Last Update: June 20, 2018
Sole Proprietor: No

Mailing Address

1471 Johns Lake Rd Ste 1

Clermont, FL 347117005

Phone: 6177841970

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.