Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952520710 Individual Practitioner Male Practitioner

Dr. Douglas Don Peterson , DDS

Dentist - General Practice • Lake Worth, FL

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Peterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lake Worth, FL. Practice services are available at 2411 10TH AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2411 10th Ave N

Lake Worth, FL 334613128

Telephone 5619669557
Fax 5619665886
Associated Practice Facility / Clinic
🏢 Serene Dental Center Facility NPI 1275706566

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lake Worth, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Lake Worth, FL (7473 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: 2025-09-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D15386

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL 9930

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2411 10TH AVE N, LAKE WORTH, FL 334613128 (Tel: 5619669557)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2411 10TH AVE N, LAKE WORTH, FL 334613128 (Tel: 5619669557)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOUGLAS PETERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9930 in FL)

🟢
Initial NPI Registration & Enumeration April 24, 2007

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: 1952520710
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: September 26, 2025
Sole Proprietor: Yes

Mailing Address

2411 10th Ave N

Lake Worth, FL 334613128

Phone: 5619669557

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.