Grant Petersen, D.D.S

ActiveIndividual ProviderDentistry
NPI issued: August 3, 2012

Quick Facts

NPI Number
1790031128
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(907) 353-5530
StateAK

NPI Validation Status: Verified

Valid 10-digit NPI number (1790031128)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 3, 2012)
Data source: CMS NPPES

Provider Overview

GRANT PETERSEN, D.D.S is a Dentistry provider based in Fort Wainwright, AK who has been registered with CMS since 2012. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790031128
Provider TypeIndividual Provider
GenderMale
CredentialD.D.S
StatusActive
Enumeration DateAugust 3, 2012

Practice Location

CityFort Wainwright
StateAK
ZIP Code99703-5007
Phone(907) 353-5530

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateAK

Mailing Address

CityFort Wainwright
StateAK
ZIP Code99703-5007
Phone(907) 353-5530
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1790031128 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790031128for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790031128 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
125,053
Dentistry Providers in the US

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Andrew Sanchez, DDS

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Other Healthcare Providers in Fort Wainwright

Susan Tate, MD

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Michael Arnett, MD

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Elizabeth Mittelstaedt

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Arlin Guess, RN

Specialty not listed

Cynthia Aita-holmes, DMD

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Chad Gooderham, FNP

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People Also Ask

What is Grant Petersen's NPI number?
Grant Petersen's NPI number is 1790031128, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Grant Petersen's NPI currently active?
Yes, Grant Petersen's NPI status is Active as of the latest CMS NPPES database updates.
What does Grant Petersen specialize in?
Grant Petersen specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Grant Petersen practice?
Grant Petersen practices in Fort Wainwright, AK 99703-5007.
When was Grant Petersen's NPI issued?
Grant Petersen's NPI was issued on August 3, 2012.
What is Grant Petersen's provider type?
Grant Petersen is registered as an Individual Provider under CMS NPI Type 1.