Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699198663 Individual Practitioner Female Practitioner

Lillian Petersen , CDL, LD

Denturist • Florence, OR

Professional Overview & Biography Verified Profile Summary

Lillian Petersen, CDL, LD is a registered healthcare professional specializing in Denturist in Florence, OR. Practice services are available at 524 LAUREL STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

524 Laurel Street

Florence, OR 974390004

Telephone 5419976054
Fax 5419976054
Associated Practice Facility / Clinic
🏢 Denture Services, Inc. Facility NPI 1154733400

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Florence, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Florence, OR (139 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

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License OR DT DO 706283

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Denturist
122400000X (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1164611901

LICENSEDDENTURIST

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2014

Registered at 524 LAUREL STREET, FLORENCE, OR 974390004 (Tel: 5419976054)

📍
Updated Business Mailing Address September 23, 2014

Registered at PO BOX 96, FLORENCE, OR 974390004 (Tel: 5419976054)

👤
Provider Name / Credentials Updated September 23, 2014

Recorded as LILLIAN PETERSEN, CDL, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2014

Denturist (License #DT DO 706283 in OR)

🟢
Initial NPI Registration & Enumeration January 28, 2014

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: 1699198663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2014
Last Update: September 23, 2014
Sole Proprietor: Yes

Mailing Address

Po Box 96

Florence, OR 974390004

Phone: 5419976054

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.