GERALD D PETERSEN (NPI# 1194922575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194922575 |
| Entity Type | Individual |
| Full Name | GERALD D PETERSEN |
| Credential | D.D.S. |
| Practice Address |
S22 W22660 East Broadway #2b Waukesha WI 53186 |
| Mailing Address |
S41w34610 Big Oak Dr Dousman WI 53118-9721 |
| Practice Telephone | 2625483555 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3340 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326072976 | Gerald R Petersen | Pharmacist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2006-07-10 |
| Street Address |
S22 W22660 EAST BROADWAY #2B |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033678875 | Quirt Family Dentistry, S.c. | Dentist | 701 E Sunset Dr, Waukesha, WI 53189-7715 | 2019-03-19 |
| 1093955254 | Megan Sarah Desroches | Dentist | 1211 Dolphin Ct, Waukesha, WI 53186 | 2009-03-01 |
| 1922261734 | Alison C Teske | Dentist | 2320 E Moreland Blvd, Ste A, Waukesha, WI 53186-2948 | 2008-07-02 |
| 1093978819 | Vassilis K Panagopoulos | Dentist | 20855 Watertown Rd Ste 120, Waukesha, WI 53186-1873 | 2008-07-02 |
| 1679730238 | Thomas F Voelker | Dentist | 2340 W Saint Paul Ave, Waukesha, WI 53188-5942 | 2008-05-21 |
| 1992994339 | Mark J Kneepkens | Dentist | 601 N Grand Ave, Waukesha, WI 53186-4918 | 2007-10-22 |
| 1790986164 | Michael Kowalski | Dentist | 1600 Summit Avenue, Suite D, Waukesha, WI 53188 | 2007-05-31 |
| 1760516579 | Morgan Michael Hamm | Dentist | W249s3642 Center Rd, Waukesha, WI 53189-7364 | 2007-03-15 |
| 1053444182 | James Peter Toft | Dentist | 1575 E Racine Ave, Waukesha, WI 53186-6826 | 2007-03-14 |
| 1588792055 | Vincent Stephen Mcavoy | Dentist | 1751 E. Main St., Waukesha, WI 53186-3940 | 2007-02-28 |
| Find all providers in WAUKESHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.