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Deactivated NPI 1447532411 Deactivated / Inactive NPI Male Practitioner

Dr. Peter M Holm , DDS

Dentist - General Practice • Rochester, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Holm has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2011
NPI Deactivation Date August 14, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Holm, DDS was a registered Dentist - General Practice practicing in Rochester, MN. Throughout an active medical career spanning 14 years, Dr. Holm provided care at the practice location at 120 NORTH BROADWAY NE, SUITE B until profile deactivation on 2025-08-14.

Practice Location & Contact Primary Location

Practice Address

120 North Broadway Ne, Suite B
Good Samaritan Dental Clinic

Rochester, MN 55906

Telephone 5074244199

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rochester, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
95 Specialists

Practicing in Rochester, MN (2262 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 MN D6449

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Connie Krueger , RDH

Dental Hygienist

NPI 1235451816

Registered Dental Hygienist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 14, 2025

Record deactivated on August 14, 2025

NPI Profile Active September 15, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 15, 2011

Registered at 120 NORTH BROADWAY NE, SUITE B, GOOD SAMARITAN DENTAL CLINIC, ROCHESTER, MN 55906 (Tel: 5074244199)

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Updated Business Mailing Address September 15, 2011

Registered at 120 NORTH BROADWAY NE, SUITE B, GOOD SAMARITAN DENTAL CLINIC, ROCHESTER, MN 55906 (Tel: 5074244199)

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Provider Name / Credentials Updated September 15, 2011

Recorded as PETER HOLM, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2011

Dentist (License #D6449 in MN)

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Initial NPI Registration & Enumeration September 15, 2011

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: 1447532411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2011
Last Update: September 15, 2011
Deactivation Date: August 14, 2025

Mailing Address

120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic

Rochester, MN 55906

Phone: 5074244199

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.