Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902898307 Individual Practitioner Male Practitioner

Dr. Peter Daniel Carlesimo , DDS

Dentist • Salem, OR

Professional Overview & Biography Verified Profile Summary

Dr. Peter Carlesimo, DDS is a registered healthcare professional specializing in Dentist in Salem, OR. Practice services are available at 3490 LANCASTER DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3490 Lancaster Dr Ne

Salem, OR 973051356

Telephone 8554336825
Associated Practice Facility / Clinic
🏢 Willamette Dental Group Facility NPI 1992182026

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
83 Specialists

Practicing in Salem, OR (1289 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: 2020-09-18
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D9514

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DE61007889

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

Commercial Insurance / Payer ID Dentist License
D9514 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003268319

Doctor of Dental Medicine

Dr. Jefferson Gourley , DDS

Dentist - Endodontics

NPI 1003941170

Doctor of Dental Surgery

Dr. Jonathan Kim , DDS

Dentist - General Practice

NPI 1013568294

Doctor of Dental Surgery

NPI 1023520574

Doctor of Dental Surgery

Dr. Myriam Hamieh , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023739224

Doctor of Dental Medicine, Master of Science

NPI 1023851755

Doctor of Dental Surgery

Career & Practice History Timeline

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

19 Historical Events
📍
Updated Practice Location October 06, 2022

Registered at 3490 LANCASTER DR NE, SALEM, OR 973051356 (Tel: 8554336825)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2022

Dentist (License #DE61007889 in WA)

📍
Updated Practice Location November 15, 2019

Registered at 910 NE 82ND ST, VANCOUVER, WA 986658847 (Tel: 8554336825)

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 2420 NW PROFESSIONAL DR STE 150, CORVALLIS, OR 973303977 (Tel: 8554336825)

📍
Updated Business Mailing Address March 17, 2018

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 8554336825)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as PETER CARLESIMO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #11681 in MD)

NPI Profile Active December 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2017

Registered at 2420 NW PROFESSIONAL DR STE 150, CORVALLIS, OR 973303977 (Tel: 8554336825)

📍
Updated Business Mailing Address December 05, 2017

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 8554336825)

👤
Provider Name / Credentials Updated December 05, 2017

Recorded as PETER CARLESIMO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Dentist (License #11681 in MD)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3400 W EISENHOWER BLVD, LOVELAND, CO 805379178 (Tel: 9706692853)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2106 WHITEWOOD DR, FORT COLLINS, CO 805288527 (Tel: 9702079944)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER CARLESIMO, DDS

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

Dentist (License #8237 in CO)

🟢
Initial NPI Registration & Enumeration August 22, 2005

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: 1902898307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2005
Last Update: October 06, 2022
Sole Proprietor: No

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

Phone: 8554336825

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.