DR. GARY S PETERSON (NPI# 1518006147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518006147 |
| Entity Type | Individual |
| Full Name | DR. GARY S PETERSON |
| Credential | DDS |
| Practice Address |
123 S Stone Ave Tucson AZ 85701-1914 |
| Mailing Address |
7241 E Rocky Ridge Dr Tucson AZ 85750-6034 |
| Practice Telephone | 5207983384 |
| Practice Fax Number | 5207919311 |
| Enumeration Date | 2007-02-06 |
| 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 |
4638 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417299074 | Gary L Peterson | Veterinarian | 1220 S State St, Salt Lake City, UT 84111-4535 | 2013-03-21 |
| 1447557616 | Gary G Peterson | Physical Therapist | 4461 Woodbridge Rd, Niceville, FL 32578-2387 | 2011-02-23 |
| 1114130465 | Gary Glen Peterson | Psychologist | 675 Sun Valley Road, C, Ketchum, ID 83340 | 2007-05-07 |
| 1164589610 | Gary Robert Peterson | Counselor | 1538 The Greens Way Ste 101, Jacksonville Beach, FL 32250-1400 | 2007-01-03 |
| 1285799304 | Gary Ray Peterson | Dentist | 3815 Stephens Ave, Missoula, MT 59801-8505 | 2006-12-27 |
| 1629163514 | Gary Lee Peterson | Chiropractor | 7100 Menaul Blvd Ne, Albuquerque, NM 87110-3688 | 2006-10-04 |
| 1417065566 | Gary Peterson | Psychiatry & Neurology | 103 Edwards Ridge Rd, Chapel Hill, NC 27517-9201 | 2006-08-28 |
| 1699724955 | Gary M Peterson | Family Medicine | 4702 Grand Ave, Duluth, MN 55807-2742 | 2006-05-06 |
| 1831541812 | Gary Daniel Peterson | Anesthesiology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2016-07-01 |
| 1114384039 | Gary Peterson | Counselor | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2016-01-22 |
| Street Address |
123 S STONE AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85701-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568901866 | Jeffrey Michael Lake | Dentist | 123 S Stone Ave, Tucson, AZ 85701-1914 | 2017-02-20 |
| 1730632415 | Kaveh Kayvani | Dentist | 123 S Stone Ave, Tucson, AZ 85701-1914 | 2016-07-28 |
| 1225365703 | Perfect Teeth / Abc P.C. | Dentist | 123 S Stone Ave, Tucson, AZ 85701-1914 | 2009-11-04 |
| 1811170483 | Abc Dental Center, PC | Dentist | 123 S Stone Ave, Tucson, AZ 85701-1914 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203089 | Marisa Riddle | Registered Nurse | 220 W 6th Street, Tucson, AZ 85701 | 2019-03-12 |
| 1023593126 | Catherine Lee | Pharmacist | 220 W 6th Street Room B113, Tucson, AZ 85701 | 2018-09-25 |
| 1730425455 | Jan Courtney | Counselor | 85 W Franklin, Cope Community Services, Tucson, AZ 85701 | 2012-12-28 |
| 1750641569 | Christine A Widener | Social Worker | 240 N Court Ave, Tucson, AZ 85701 | 2012-05-25 |
| 1336337039 | Gerard Anthony Scarano | Psychologist | 10 E 10th St, Tucson, AZ 85701 | 2007-10-09 |
| 1922166107 | Coyote Task Force | Community/Behavioral Health | 66 E Pennington, Tucson, AZ 85701 | 2006-12-04 |
| 1407928575 | Community Provider of Enrichment Services, Inc. | Community/Behavioral Health | 355 W 24th St, Tucson, AZ 85701 | 2006-11-14 |
| 1164510731 | G. Lynn Bonner | Counselor | 325 W. Franklin St., Ste 117, Tucson, AZ 85701 | 2006-10-10 |
| 1548361470 | La Frontera Center, Inc. | Clinic/Center | 260 S. Scott, Tucson, AZ 85701 | 2006-09-25 |
| 1356317077 | Linda Kapinos | Nurse Practitioner | 101 South Stone Avenue, Cope Community Services, Inc., Tucson, AZ 85701 | 2006-02-23 |
| Find all providers in zip 85701 | ||||
| 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 |
|---|---|---|---|---|
| 1871191197 | Dentalpros, LLC | Dentist | 225 E Valencia Rd Ste 135, Tucson, AZ 85706-6866 | 2020-10-09 |
| 1457958928 | Eesha Katarya | Dentist | 1060 S Harrison Rd Ste 110, Tucson, AZ 85748-6603 | 2020-10-07 |
| 1285243907 | James Bryan Madril | Dentist | 1218 W Irvington Rd, Tucson, AZ 85714-1136 | 2020-07-28 |
| 1669026167 | Midvale Park Dental Partners LLC | Dentist | 1979 W Valencia Rd, Tucson, AZ 85746 | 2019-08-01 |
| 1366001430 | Carlos A Rodriguez | Dentist | 3208 E Fort Lowell Rd Ste 101, Tucson, AZ 85716-1625 | 2019-06-11 |
| 1619448859 | Marie Anne Robillard | Dentist | 1601 N Tucson Blvd Ste 24, Tucson, AZ 85716-3407 | 2018-12-16 |
| 1881180669 | Alexandra Trinidad Quiroz Martin | Dentist | 5445 N Kolb Rd Ste 205, Tucson, AZ 85750-0750 | 2018-07-05 |
| 1356871552 | Kirsten Linaker | Dentist | 2300 N Craycroft Rd Ste 3, Tucson, AZ 85712-2808 | 2017-06-19 |
| 1811427073 | Samip Patel | Dentist | 8160 S Houghton Rd Ste 130, Tucson, AZ 85747-9720 | 2017-06-19 |
| 1003353822 | Lenny W Arias Dds Pllc | Dentist | 4955 N Sabino Canyon Rd, Suite 103, Tucson, AZ 85750-6491 | 2017-01-31 |
| Find all providers in TUCSON | ||||
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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.