Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922012061 Individual Practitioner Male Practitioner

Dr. Edwin Roy Peterson , DDS

Dentist • Nevada, MO

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Peterson, DDS is a registered healthcare professional specializing in Dentist in Nevada, MO. Practice services are available at 629 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

629 S Main St

Nevada, MO 647723555

Telephone 4176673134

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Nevada, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Nevada, MO (1740 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 MO 12736

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 629 S MAIN ST, NEVADA, MO 647723555 (Tel: 4176673134)

📍
Updated Business Mailing Address July 08, 2007

Registered at 629 S MAIN ST, NEVADA, MO 647723555 (Tel: 4176673134)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDWIN PETERSON, DDS

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

Dentist (License #12736 in MO)

🟢
Initial NPI Registration & Enumeration July 27, 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: 1922012061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

629 S Main St

Nevada, MO 647723555

Phone: 4176673134

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.