Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205538071 Individual Practitioner Male Practitioner

Dr. Justin Scott Peterson , DDS

Dentist • Hill Afb, UT

Professional Overview & Biography Verified Profile Summary

Dr. Justin Peterson, DDS is a registered healthcare professional specializing in Dentist in Hill Afb, UT. Practice services are available at 7321 BALMER ST BLDG 570 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7321 Balmer St Bldg 570

Hill Afb, UT 840565012

Telephone 8017777011

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Hill Afb, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Hill Afb, UT (758 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: 2024-08-22
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CO DEN.00205577

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2501 Capehart Rd

Offutt Afb, NE 681132160

Phone: 4022942930

Practice Associates & Co-Workers

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

10 Associated Practitioners
NPI 1245492131

Doctor of Dental Surgery

NPI 1316689995
NPI 1396052569

Doctor of Dental Surgery

Abigail Nuestro , RDH

Dental Hygienist

NPI 1699443952

Registered Dental Hygienist

NPI 1740479328

Doctor of Dental Medicine

Shauna Mayer , RDH

Dental Hygienist

NPI 1831864388

Registered Dental Hygienist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 29, 2024

Registered at 7321 BALMER ST BLDG 570, HILL AFB, UT 840565012 (Tel: 8017777011)

📍
Updated Business Mailing Address July 29, 2024

Registered at 7321 BALMER ST BLDG 570, HILL AFB, UT 840565012

NPI Profile Active March 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2023

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681132160 (Tel: 4022942930)

📍
Updated Business Mailing Address March 17, 2023

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681132160

👤
Provider Name / Credentials Updated March 17, 2023

Recorded as JUSTIN PETERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 17, 2023

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: 1205538071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2023
Last Update: August 22, 2024
Sole Proprietor: No

Mailing Address

7321 Balmer St Bldg 570

Hill Afb, UT 840565012

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.