Dr. Candace L Peterson , DMD
Dentist - General Practice • Tualatin, OR
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. Candace Peterson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Candace Peterson, DMD was a registered Dentist - General Practice practicing in Tualatin, OR. Throughout an active medical career spanning 1 years, Dr. Peterson provided care at the practice location at 18795 SW BOONES FERRY RD until profile deactivation on 2006-03-17.
Practice Location & Contact Primary Location
18795 Sw Boones Ferry Rd
Tualatin, OR 970628412
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Tualatin, OR
Practicing in Tualatin, OR (1994 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 18795 SW BOONES FERRY RD, TUALATIN, OR 970628412 (Tel: 5036919046)
Registered at 18795 SW BOONES FERRY RD, TUALATIN, OR 970626807 (Tel: 5036919046)
Recorded as CANDACE PETERSON, DMD
Dentist (License #6101 in OR)
Record officially reactivated for active practice on March 27, 2006
Record deactivated on March 17, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
18795 Sw Boones Ferry Rd
Tualatin, OR 970626807
Phone: 5036919046
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