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Active NPI 1083673271 Individual Practitioner Male Practitioner

Dr. Daniel Allen Petersen , DDS

Dentist - General Practice • Kennewick, WA

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Petersen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kennewick, WA. Practice services are available at 7223 W CLEARWATER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7223 W Clearwater Ave

Kennewick, WA 99336

Telephone 5097838822
Fax 5097831983
Associated Practice Facility / Clinic
🏢 James P. Chapados, Dds, P.s. Facility NPI 1851476055

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kennewick, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
42 Specialists

Practicing in Kennewick, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00006331

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
5012711 (WA)
Commercial Insurance / Payer ID Blue Cross
5871PE
Commercial Insurance / Payer ID United Concordia
685412
Commercial Insurance / Payer ID Wds Delta
75693

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1437342458

Doctor of Dental Surgery

Dr. James Chapados , DDS

Dentist - General Practice

NPI 1629037809

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2013

Registered at 7223 W CLEARWATER AVE, KENNEWICK, WA 99336 (Tel: 5097838822)

📍
Updated Business Mailing Address October 04, 2013

Registered at 7223 W CLEARWATER AVE, KENNEWICK, WA 99336 (Tel: 5097838822)

👤
Provider Name / Credentials Updated October 04, 2013

Recorded as DANIEL PETERSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2013

Dentist (License #DE00006331 in WA)

🟢
Initial NPI Registration & Enumeration March 17, 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: 1083673271
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2006
Last Update: October 04, 2013
Sole Proprietor: No

Mailing Address

7223 W Clearwater Ave

Kennewick, WA 99336

Phone: 5097838822

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.