DR. DOUGLAS BRUCE PETERSON (NPI# 1770688756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770688756 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS BRUCE PETERSON |
| Credential | DDS |
| Practice Address |
8470 Us Hwy 2 Iron River WI 54847-0400 |
| Mailing Address |
Po Box 400 8470 Us Hwy 2 Iron River WI 54847-0400 |
| Practice Telephone | 7153724407 |
| Mailing Telephone | 7153724407 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3879015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972071777 | Douglas Peterson | Acupuncturist | 333 E 46th St Apt 1j, New York, NY 10017-7426 | 2018-11-09 |
| 1952520710 | Douglas Don Peterson | Dentist | 2411 10th Ave N, Lake Worth, FL 33461-3128 | 2007-04-24 |
| 1437267440 | Douglas B Peterson | Internal Medicine | 1512 W 4th St, Marshfield, WI 54449-2509 | 2006-08-29 |
| 1710962832 | Douglas Peterson | Emergency Medicine | 1630 Anderson Ave, Buffalo, MN 55313-2945 | 2005-12-13 |
| 1982688388 | Douglas George Peterson | Chiropractor | 3030 Sw Moody Ave, Ste 102, Portland, OR 97201-4867 | 2005-11-30 |
| 1932399938 | Douglas Allen Peterson | Clinical Neuropsychologist | 16935 W Bernardo Dr, 238, San Diego, CA 92127-1634 | 2007-07-26 |
| 1609083856 | Douglas A Peterson | Dentist | 9 Middletown Lincroft Rd, Lincroft, NJ 07738-1511 | 2007-05-17 |
| 1174739288 | Douglas Charles Peterson | Pediatrics | 9260 Laguna Springs Dr, Suite E2-308, Elk Grove, CA 95758-7947 | 2007-05-15 |
| 1023142585 | Douglas Jed Peterson | Chiropractor | 650 N State St, Suite #1, Shelley, ID 83274-5167 | 2007-03-15 |
| 1659408649 | Douglas G Peterson | Chiropractor | 1765 Taft Ave, Oshkosh, WI 54902-3220 | 2007-02-27 |
| Street Address |
8470 US HWY 2 |
| City | IRON RIVER |
| State | WI |
| Zip Code | 54847-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954822 | Karen M Johnson | Registered Nurse | 7555 Franklin St, Iron River, WI 54847-3420 | 2020-05-18 |
| 1831248475 | Town of Iron River | Ambulance | 8285 Us Highway 2, Iron River, WI 54847-3436 | 2007-01-10 |
| 1548278021 | Deborah A Dryer-akl | Family Medicine | 7665 Us Hwy 2, The Lakes Community Health Center, Iron River, WI 54847-4260 | 2006-08-03 |
| 1083888705 | Lavonne Diane Gustafson | Physical Therapy Assistant | 62277 Delta Lake Rd, Iron River, WI 54847-4570 | 2008-04-14 |
| 1215987755 | Arlyn A Koeller | Family Medicine | 7665 Us Highway 2, The Lakes Community Health Center, Iron River, WI 54847-4690 | 2006-05-12 |
| 1356972210 | Ellyn Conhartoski | Counselor | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2020-01-30 |
| 1942840392 | Crystal Hasselquist | Dental Hygienist | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2020-01-14 |
| 1033685045 | Lisa Olson | Dental Hygienist | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2018-10-17 |
| 1720591654 | Rebecca Fleming | Nurse Practitioner | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2017-11-14 |
| 1144768300 | James Roe | Counselor | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2017-02-08 |
| Find all providers in zip 54847 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104174382 | Zachary Schmidt | Dentist | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445242 | Heather Jordan | Dentist | 2303 Schneider Ave Se Ste 200, Menomonie, WI 54751-7008 | 2020-10-21 |
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1770194870 | Gi Ppeum Lee | Dentist | 3111 E Calumet St, Appleton, WI 54915-4754 | 2020-08-12 |
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1962010579 | Catherine Eileen Zimmermann | Dentist | 190 Gardner Ave Ste 7, Burlington, WI 53105-2160 | 2020-07-20 |
| 1073131348 | Kelsey Chin | Dentist | 888 Thackeray Trl Ste 215, Oconomowoc, WI 53066-4342 | 2020-07-13 |
| 1457978520 | Brennan Michael Leavitt | Dentist | 2201 Division St # B, Stevens Point, WI 54481-3662 | 2020-07-06 |
| 1467079327 | William Tyler Crusey | Dentist | 7979 N Sherman Blvd # 200, Brown Deer, WI 53209-1776 | 2020-06-26 |
| 1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
| 1881210185 | Negah Karimpourtalebi | Dentist | 6430 Green Bay Rd Ste 112, Kenosha, WI 53142-2948 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | IRON RIVER |
| Zip Code | 54847 |
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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.