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Active NPI 1588772065 Individual Practitioner Male Practitioner

Dr. Peter Joseph Koletar , DDS

Dentist • Crossville, TN

Professional Overview & Biography Verified Profile Summary

Dr. Peter Koletar, DDS is a registered healthcare professional specializing in Dentist in Crossville, TN. Practice services are available at 3121 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3121 N Main St

Crossville, TN 38555

Telephone 9314849400
Fax 9314841477

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Crossville, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Crossville, TN (1629 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 TN DS0000007173

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

Medicaid State Provider ID
3204906 (TX)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 03, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2008

Registered at 3121 N MAIN ST, CROSSVILLE, TN 38555 (Tel: 9314849400)

📍
Updated Business Mailing Address January 03, 2008

Registered at 3121 N MAIN ST, CROSSVILLE, TN 38555 (Tel: 9314849400)

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Provider Name / Credentials Updated January 03, 2008

Recorded as PETER KOLETAR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2008

Dentist (License #DS0000007173 in TN)

🟢
Initial NPI Registration & Enumeration August 26, 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: 1588772065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2006
Last Update: January 03, 2008
Sole Proprietor: No

Mailing Address

3121 N Main St

Crossville, TN 38555

Phone: 9314849400

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.