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Active NPI 1720159080 Individual Practitioner Male Practitioner

Dr. Benjamin T Peterson , DDS

Dentist - General Practice • Ontario, OR

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Peterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ontario, OR. Practice services are available at 271 SW 13TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

271 Sw 13th St

Ontario, OR 979144530

Telephone 5418899407
Fax 5418896551
Associated Practice Facility / Clinic
🏢 High Desert Dental Facility NPI 1710194675

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ontario, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Ontario, OR (1994 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

CMS Verified: 2023-06-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D8413

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
231468 (OR)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Rhett Tipton , DMD

Dentist - General Practice

NPI 1578586194

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active May 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2011

Registered at 271 SW 13TH ST, ONTARIO, OR 979144530 (Tel: 5418899407)

📍
Updated Business Mailing Address May 16, 2011

Registered at 271 SW 13TH ST, ONTARIO, OR 979144530 (Tel: 5418899407)

👤
Provider Name / Credentials Updated May 16, 2011

Recorded as BENJAMIN PETERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2011

Dentist (License #D8413 in OR)

🟢
Initial NPI Registration & Enumeration November 10, 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: 1720159080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2006
Last Update: June 08, 2023
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

271 Sw 13th St

Ontario, OR 979144530

Phone: 5418899407

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.