DR. DENNIS WAYNER PETERSON (NPI# 1548321268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548321268 |
| Entity Type | Individual |
| Full Name | DR. DENNIS WAYNER PETERSON |
| Credential | D.D.S. |
| Practice Address |
1365 W 1000 N Dental Department Salt Lake City UT 84116-1654 |
| Practice Telephone | 8013285756 |
| Practice Fax Number | 8015217463 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
140024-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205986460 | Dennis Lee Peterson | Internal Medicine | 705 6th Avenue East, Kalispell, MT 59901-5047 | 2007-01-11 |
| 1184632697 | Dennis Roy Peterson | Dentist | 5420 Park Dr, Rocklin, CA 95765 | 2006-08-03 |
| 1477957678 | Dennis Peterson | Pharmacist | 854 Hwy 93, Clemson, SC 29631 | 2014-10-16 |
| 1649501420 | Dennis Michael Peterson | Counselor | 43740 N Groesbeck Hwy, Clinton Township, MI 48036-1139 | 2010-01-19 |
| 1205948478 | Dennis Peterson | Physician Assistant | 1000 N Oak Ave, Marshfield, WI 54449 | 2006-08-31 |
| 1164532073 | Dennis R Peterson | Family Medicine | 415 Medical Dr, Suite B200, Bountiful, UT 84010-4946 | 2006-08-30 |
| 1508885013 | Dennis L Peterson | Family Medicine | 1555 Northway Drive, Suite 200, St Cloud, MN 56303-4913 | 2006-07-18 |
| 1447217062 | Dennis A Peterson | Audiologist-Hearing Aid Fitter | 78 Tuscarawas Rd, Beaver, PA 15009-2231 | 2006-04-27 |
| Street Address |
1365 W 1000 N DENTAL DEPARTMENT |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84116-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437670098 | William Stanley Garzon | Nurse Practitioner | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2017-07-03 |
| 1447636089 | Carolina Araujo Guitarrari | Nurse Practitioner | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2015-08-05 |
| 1275944563 | Jenna Renee Ingersoll | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2014-05-08 |
| 1720417959 | Jennyfer Quitian Chapman | Physician Assistant | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2013-11-07 |
| 1750721148 | Nicole Lee Ruske | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2013-06-28 |
| 1477834141 | Aaron Steele Asay | Physician Assistant | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2011-09-07 |
| 1306136932 | Alana Jonat | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2011-04-16 |
| 1215186077 | Amanda C Van Gils | Physician Assistant | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2008-09-16 |
| 1891944856 | Devin Mccormick Link | Dentist | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2008-09-15 |
| 1215057617 | Daniel J Mcatee | Physical Therapist | 1365 W 1000 N, Salt Lake City, UT 84116-1654 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1114402377 | Felicia Marie Speer | Community Health Worker | 1303 Sir Phillip Dr, Salt Lake City, UT 84116 | 2018-10-03 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1174882856 | Marilyn Ross | Nurse Practitioner | 384 Wright Brothers Dr., Marilyn Ross Bld #2, Salt Lake City, UT 84116 | 2012-05-15 |
| 1720387137 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 745 N Warm Springs Rd, Salt Lake City, UT 84116 | 2011-03-24 |
| 1811000276 | Kim Coston Christensen | Preventive Medicine | 2150 West 700 North, Kim C. Christensen D.o. Faa Sl/artcc Mfo, Salt Lake City, UT 84116 | 2006-08-17 |
| 1144705583 | Brian Larry Gashler | Family Medicine | 54 N 8th W, Salt Lake City, UT 84116 | 2018-10-02 |
| 1528350972 | Aliesha Shaw | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, 5900, Salt Lake City, UT 84116 | 2011-05-04 |
| 1588113583 | Alicia Dalton | Community Health Worker | 1357 N Redwood Rd Apt 19, Salt Lake City, UT 84116-1449 | 2016-10-02 |
| Find all providers in zip 84116 | ||||
| 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 |
|---|---|---|---|---|
| 1417575879 | Utah Family Dental Cottonwood Heights | Dentist | 7069 S Highland Dr Ste 200, Salt Lake City, UT 84121-3731 | 2020-07-10 |
| 1437772498 | Jordan Ames Whatcott | Dentist | 5888 S 900 E Ste 101, Salt Lake City, UT 84121-1644 | 2020-05-26 |
| 1043871783 | Morgan Park | Dentist | 223 S 700 E Ste 3, Salt Lake City, UT 84102-2174 | 2019-06-24 |
| 1730647330 | Salt Lake Modern Dentistry, LLP | Dentist | 1028 E 2100 S Ste 3, Salt Lake City, UT 84106-3096 | 2019-03-04 |
| 1336615244 | Jordan Heimer | Dentist | 1386 S Green St, Salt Lake City, UT 84105-2137 | 2018-10-18 |
| 1558852269 | Eric Gordon Russell | Dentist | 4465 S 900 E Ste 100, Salt Lake City, UT 84124-2695 | 2018-05-29 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1538687207 | Community Health Centers, Inc. | Dentist | 1078 S 300 E # 4, Salt Lake City, UT 84111-4638 | 2017-09-01 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1437682002 | Salt Lake Dental Care | Dentist | 279 E 5900 S Ste 202, Salt Lake City, UT 84107-5425 | 2017-04-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84116 |
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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.