Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205985553 Individual Practitioner Male Practitioner

Dr. Peter Jengo , DDS

Dentist • Gardner, MA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Jengo, DDS is a registered healthcare professional specializing in Dentist in Gardner, MA. Practice services are available at 175 CONNORS STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

175 Connors Street

Gardner, MA 01440

Telephone 9784106100
Fax 9784106176
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Gardner, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Gardner, MA (3030 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 MA 10648

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0212270 (MA)

Practice Associates & Co-Workers

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

18 Associated Practitioners
NPI 1124000294

Doctor of Medicine (M.D.)

Dr. Kim Houde , MD

Family Medicine

NPI 1154302966

Doctor of Medicine (M.D.)

Casie Short , PA-C

Physician Assistant

NPI 1205067279

Physician Assistant (Certified)

Dr. Ronald Magembe , DDS

Dentist - Dental Public Health

NPI 1235455486

Doctor of Dental Surgery

Brenda Dill , RN

Registered Nurse - General Practice

NPI 1376222539

Registered Nurse

Leslie Cosme , RN

Registered Nurse

NPI 1457061004

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2015

Registered at 175 CONNORS STREET, GARDNER, MA 01440 (Tel: 9784106100)

📍
Updated Business Mailing Address August 18, 2015

Registered at 326 NICHOLS RD, FITCHBURG, MA 01420 (Tel: 9788788516)

👤
Provider Name / Credentials Updated August 18, 2015

Recorded as PETER JENGO, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2015

Dentist (License #10648 in MA)

🟢
Initial NPI Registration & Enumeration January 09, 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: 1205985553
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: August 18, 2015
Sole Proprietor: No

Mailing Address

326 Nichols Rd

Fitchburg, MA 01420

Phone: 9788788516

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.