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Active NPI 1093817686 Individual Practitioner Male Practitioner

Dr. Jeromy A Peterson , DDS PS

Dentist - General Practice • Poulsbo, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jeromy Peterson, DDS PS is a registered healthcare professional specializing in Dentist - General Practice in Poulsbo, WA. Practice services are available at 19301 8TH AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19301 8th Ave Ne

Poulsbo, WA 98370

Telephone 3607793958
Fax 3607793033
Associated Practice Facility / Clinic
🏢 R.s. Puhn, D.d.s., P.l.l.c. Facility NPI 1639438732

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Poulsbo, WA

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

Practicing in Poulsbo, 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 DE00008169

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.

Secondary Practice Locations

19170 8th Ave Ne

Poulsbo, WA 983708773

Phone: 3607793958

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Randal Puhn , DDS

Dentist - General Practice

NPI 1184983660

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 30, 2018

Registered at 19301 8TH AVE NE, POULSBO, WA 98370 (Tel: 3607793958)

📍
Updated Business Mailing Address May 30, 2018

Registered at 19301 8TH AVE NE, POULSBO, WA 983706200 (Tel: 3607793958)

👤
Provider Name / Credentials Updated May 30, 2018

Recorded as JEROMY PETERSON, DDS PS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 19170 8TH AVE NE, POULSBO, WA 983708773 (Tel: 3607793958)

📍
Updated Business Mailing Address July 08, 2007

Registered at 19170 8TH AVENUE NE, POULSBO, WA 98370 (Tel: 3607793958)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEROMY PETERSON, D.D.S

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

Dentist (License #DE00008169 in WA)

🟢
Initial NPI Registration & Enumeration September 02, 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: 1093817686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2006
Last Update: May 30, 2018
Sole Proprietor: Yes

Mailing Address

19301 8th Ave Ne

Poulsbo, WA 983706200

Phone: 3607793958

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.