Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841273810 Individual Practitioner Male Practitioner

Dr. Peter James Moriarty , DDS

Dentist - General Practice • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Peter Moriarty, DDS is a registered healthcare professional specializing in Dentist - General Practice in Saint Cloud, MN. Practice services are available at 4801 VETERANS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4801 Veterans Dr

Saint Cloud, MN 563032015

Telephone 3202521670
Associated Practice Facility / Clinic
🏢 St. Cloud Vamc Facility NPI 1235187741

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Cloud, MN

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

Practicing in Saint Cloud, 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

CMS Verified: 2026-04-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ 5393

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

40 Associated Practitioners
Patricia Meyer , LICSW

Social Worker - Clinical

NPI 1003088337

Licensed Independent Clinical Social Worker

NPI 1003292889

Doctor of Pharmacy (Pharm.D.)

Nicole Willis

Occupational Therapy Assistant

NPI 1003614652
Erin Bruntlett

Specialist/Technologist - Rehabilitation, Blind

NPI 1003621533
Moriah Lelou

Licensed Practical Nurse

NPI 1003635434
Sara Bukowski

Health & Wellness Coach

NPI 1003643289

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 16, 2026

Registered at 4801 VETERANS DR, SAINT CLOUD, MN 563032015 (Tel: 3202521670)

📍
Updated Business Mailing Address April 16, 2026

Registered at 4801 VETERANS DR, SAINT CLOUD, MN 563032015 (Tel: 3202521670)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2026

Dentist (License #5393 in AZ)

📍
Updated Practice Location March 19, 2019

Registered at 100 LAKE TRAVERSE DR, SISSETON, SD 572627046 (Tel: 6056987606)

📍
Updated Business Mailing Address March 19, 2019

Registered at 100 LAKE TRAVERSE DR, SISSETON, SD 572627046

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2019

Dentist (License #D10676 in MN)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10645 N 43RD AVE, PHOENIX, AZ 850293944 (Tel: 6029733690)

📍
Updated Business Mailing Address July 08, 2007

Registered at 15449 N 25TH AVE, 1045, PHOENIX, AZ 850234243 (Tel: 6125783100)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER MORIARTY, D.D.S.

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

Dentist (License #5393 in AZ)

🟢
Initial NPI Registration & Enumeration November 23, 2005

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: 1841273810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2005
Last Update: April 16, 2026
Sole Proprietor: No

Mailing Address

4801 Veterans Dr

Saint Cloud, MN 563032015

Phone: 3202521670

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.