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Active NPI 1134209661 Individual Practitioner Male Practitioner

Dr. Peter J Blodgett , DDS

Dentist - General Practice • Decorah, IA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Blodgett, DDS is a registered healthcare professional specializing in Dentist - General Practice in Decorah, IA. Practice services are available at 108 5TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 5th Ave

Decorah, IA 521011319

Telephone 5633823657
Fax 5633820739
Associated Practice Facility / Clinic
🏢 Wilmes Dental, Inc. Facility NPI 1003669656

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Decorah, IA

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

Practicing in Decorah, 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

CMS Verified: 2024-04-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 7396

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
0063404 (IA)

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1467523639

Doctor of Dental Surgery

NPI 1578979126

Doctor of Dental Surgery

Dr. Jon Hart , DDS

Dentist - General Practice

NPI 1649350166

Doctor of Dental Surgery

Dr. Lana Mcdermott , DDS

Dentist - General Practice

NPI 1821377615

Doctor of Dental Surgery

Dr. Christian Wyse , DDS

Dentist - General Practice

NPI 1881774271

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 108 5TH AVE, DECORAH, IA 521011319 (Tel: 5633823657)

📍
Updated Business Mailing Address July 09, 2007

Registered at 108 5TH AVE, DECORAH, IA 521011319 (Tel: 5633823657)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as PETER BLODGETT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #7396 in IA)

🟢
Initial NPI Registration & Enumeration October 17, 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: 1134209661
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: April 09, 2024
Sole Proprietor: Yes

Mailing Address

108 5th Ave

Decorah, IA 521011319

Phone: 5633823657

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.