Dr. Mardelle Petersen , DDS
Dentist - General Practice • Reno, NV
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. Mardelle Petersen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mardelle Petersen, DDS was a registered Dentist - General Practice practicing in Reno, NV. Throughout an active medical career spanning 15 years, Dr. Petersen provided care at the practice location at 952 YORI AVE until profile deactivation on 2021-08-24.
Practice Location & Contact Primary Location
952 Yori Ave
Reno, NV 895022643
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Reno, NV
Practicing in Reno, NV (1127 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 August 24, 2021
NPI status registered as active in NPPES database
Registered at 952 YORI AVE, RENO, NV 895022643 (Tel: 7758300395)
Registered at 952 YORI AVE, RENO, NV 895022643 (Tel: 7758300395)
Recorded as MARDELLE PETERSEN, DDS
Dentist (License #3591 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
952 Yori Ave
Reno, NV 895022643
Phone: 7758300395
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