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Active NPI 1902073174 Individual Practitioner Male Practitioner

Dr. Gordon Charles Peterson , DDS

Dentist - General Practice • Cedar Rapids, IA

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Peterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Cedar Rapids, IA. Practice services are available at 2701 1ST AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2701 1st Ave Se

Cedar Rapids, IA 524024834

Telephone 3193645561
Fax 3193641717
Associated Practice Facility / Clinic
🏢 Dental Care Associates Facility NPI 1164569489

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cedar Rapids, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
75 Specialists

Practicing in Cedar Rapids, IA (1303 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 6573

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0500744 (IA)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active May 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2008

Registered at 2701 1ST AVE SE, CEDAR RAPIDS, IA 524024834 (Tel: 3193645561)

📍
Updated Business Mailing Address May 15, 2008

Registered at 2701 1ST AVE SE, CEDAR RAPIDS, IA 524024834 (Tel: 3193645561)

👤
Provider Name / Credentials Updated May 15, 2008

Recorded as GORDON PETERSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2008

Dentist (License #6573 in IA)

🟢
Initial NPI Registration & Enumeration May 15, 2008

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: 1902073174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2008
Last Update: May 15, 2008
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2701 1st Ave Se

Cedar Rapids, IA 524024834

Phone: 3193645561

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.