Active NPI 1124050828 Individual Practitioner Male Practitioner

Dr. William James Peterson , DDS

Dentist - General Practice • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Dr. William Peterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bellevue, WA. Practice services are available at 1540 140 AVE NE SUITE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1540 140 Ave Ne Suite 101

Bellevue, WA 98005

Telephone 4255029743

Fax 4256981580

Associated Practice Facility / Clinic

🏢 Peterson And Sunde Pllc Facility NPI 1669863668

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bellevue, WA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.3 Yrs

Regional Practice Density

148 Specialists

Practicing in Bellevue, WA (3345 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: 2021-12-16

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00008555

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

5044821 (WA)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 16, 2021

Registered at 1540 140 AVE NE SUITE 101, BELLEVUE, WA 98005 (Tel: 4255029743)

📍

Updated Business Mailing Address December 16, 2021

Registered at 1540 140 AVE NE SUITE 101, BELLEVUE, WA 98005 (Tel: 4255029743)

📍

Updated Business Mailing Address October 20, 2021

Registered at 1540 140TH AVE NE, SUITE 101, BELLEVUE, WA 98005 (Tel: 4255029743)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 15700 BEL RED RD, BELLEVUE, WA 980082231 (Tel: 4258836044)

📍

Updated Business Mailing Address July 08, 2007

Registered at 15700 BEL RED RD, BELLEVUE, WA 980082231 (Tel: 4258836044)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM PETERSON, D.D.S.

🎓

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

Dentist (License #DE00008555 in WA)

🟢

Initial NPI Registration & Enumeration July 06, 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: 1124050828

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2006

Last Update: December 16, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1540 140 Ave Ne Suite 101

Bellevue, WA 98005

Phone: 4255029743

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.