Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104912609 Individual Practitioner Male Practitioner

Dr. Peter Todd Mathison , DDS

Dentist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Peter Mathison, DDS is a registered healthcare professional specializing in Dentist in Fargo, ND. Practice services are available at 1351 PAGE DRIVE SOUTH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1351 Page Drive South
Suite 102

Fargo, ND 581033536

Telephone 7014784500
Fax 7014784501

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
54 Specialists

Practicing in Fargo, ND (232 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 ND 1933

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dsc Of Nd
901933 (ND)
Commercial Insurance / Payer ID Delta Dental Of Mn
450484245-00001 (MN)

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 1351 PAGE DRIVE SOUTH, SUITE 102, FARGO, ND 581033536 (Tel: 7014784500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1351 PAGE DRIVE SOUTH, SUITE 102, FARGO, ND 581033536 (Tel: 7014784500)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER MATHISON, D.D.S.

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

Dentist (License #1933 in ND)

🟢
Initial NPI Registration & Enumeration October 04, 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: 1104912609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1351 Page Drive South, Suite 102

Fargo, ND 581033536

Phone: 7014784500

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.