Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538289467 Individual Practitioner Male Practitioner

Dr. Gary John Peterson , DDS

Dentist - General Practice • Antigo, WI

Professional Overview & Biography Verified Profile Summary

Dr. Gary Peterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Antigo, WI. Practice services are available at 2010 PROGRESS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2010 Progress Blvd

Antigo, WI 544092475

Telephone 7156237221
Associated Practice Facility / Clinic
🏢 R & R Dental Partners Facility NPI 1588117998

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Antigo, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Antigo, WI (2459 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 WI 2494

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
33407500 (WI)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1891810198

Doctor of Dental Surgery

Dr. Dennis Romero , DDS

Dentist - General Practice

NPI 1952600710

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 July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2010 PROGRESS BLVD, ANTIGO, WI 544092475 (Tel: 7156237221)

📍
Updated Business Mailing Address July 09, 2007

Registered at N7245 US HIGHWAY 45, DEERBROOK, WI 544249246 (Tel: 7156237392)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as GARY PETERSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #2494 in WI)

🟢
Initial NPI Registration & Enumeration April 02, 2007

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: 1538289467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2007
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

N7245 Us Highway 45

Deerbrook, WI 544249246

Phone: 7156237392

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.