Dr. John Seigfred Petersen , DDS
Dentist - General Practice • Whitefish, MT
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. John Petersen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Petersen, DDS was a registered Dentist - General Practice practicing in Whitefish, MT. Throughout an active medical career spanning 11 years, Dr. Petersen provided care at the practice location at 415 CENTRAL AVE until profile deactivation on 2020-09-08.
Practice Location & Contact Primary Location
415 Central Ave
Whitefish, MT 599372770
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Whitefish, MT
Practicing in Whitefish, MT (489 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 08, 2020
NPI status registered as active in NPPES database
Registered at 415 CENTRAL AVE, WHITEFISH, MT 599372770 (Tel: 4068625996)
Registered at 415 CENTRAL AVE, WHITEFISH, MT 599370038 (Tel: 4068625996)
Recorded as JOHN PETERSEN, D.D.S.
Dentist (License #1217 in MT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
415 Central Ave
Whitefish, MT 599370038
Phone: 4068625996
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