GILMAN PETERSON III (NPI# 1871756924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871756924 |
| Entity Type | Individual |
| Full Name | GILMAN PETERSON III |
| Credential | DMD MD |
| Practice Address |
1303 W Lexington Ave Winchester KY 40391-3100 |
| Mailing Address |
25 E High St Mt Sterling KY 40353-1267 |
| Practice Telephone | 8597440677 |
| Mailing Telephone | 8594986204 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2011-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 7976 | KY | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7976 | KY | Dental Providers |
| N | 204E00000X | Oral & Maxillofacial Surgery | 7976 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100067490 | 05 | |
| KY | 7100071380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689637993 | Gilman P. Peterson Jr. | Surgery | 109 Bravo Blvd, Glasgow, KY 42141-3412 | 2006-04-08 |
| Street Address |
1303 W LEXINGTON AVE |
| City | WINCHESTER |
| State | KY |
| Zip Code | 40391-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790763258 | John I. Gray, IIi, Dmd, Psc | Dentist | 1303 W Lexington Ave, Winchester, KY 40391-3100 | 2006-01-05 |
| 1952743429 | Kimberly Roberts Bates | Dentist | 1303 W Lexington Ave, Ste A, Winchester, KY 40391-3100 | 2013-07-24 |
| 1710261383 | Anita A Gray Dds Pa Psc | Dentist | 1303 W Lexington Ave, Suite A, Winchester, KY 40391-3100 | 2011-09-30 |
| 1144346610 | Gayatri Varanasi | Dentist | 1303 W Lexington Ave, Winchester, KY 40391-3100 | 2007-03-22 |
| 1215092333 | Anita A Gray | Dentist | 1303 W Lexington Ave, Winchester, KY 40391-3100 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
| 1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
| 1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
| 1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
| 1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
| 1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
| 1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
| 1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
| Find all providers in zip 40391 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972940393 | Shenandoah Oral & Maxillofacial Surgery Inc | Dentist | 170 Garber Ln, Winchester, VA 22602-4386 | 2013-05-24 |
| 1609162460 | Kool Smiles Van, PC | Dentist | 2065 S Pleasant Valley Rd, Winchester, VA 22601-7001 | 2011-06-21 |
| 1093882334 | David Eric Redmon | Dentist | 36 W Whitlock Ave, Winchester, VA 22601-4432 | 2006-11-30 |
| 1790763258 | John I. Gray, IIi, Dmd, Psc | Dentist | 1303 W Lexington Ave, Winchester, KY 40391-3100 | 2006-01-05 |
| 1578919445 | Margaret Pham | Dentist | 1010 Amherst St, Winchester, VA 22601-3308 | 2016-05-10 |
| 1679829311 | Winchester Oral Surgery Center PC | Dentist | 172 Linden Dr, Suite 111, Winchester, VA 22601-2891 | 2012-07-31 |
| 1447577069 | Eric Drew Starley | Dentist | 1010 Amherst St, Winchester, VA 22601-3308 | 2010-04-21 |
| 1720316987 | Shenandoah Oral and Maxillofacial Surgery Inc | Dentist | 170 Garber Ln, Suite 2, Winchester, VA 22602-4386 | 2009-11-30 |
| 1255590188 | Valley Physician Enterprise, Inc | Dentist | 172 Linden Dr, Suite 111, Winchester, VA 22601-2891 | 2008-06-05 |
| 1154525574 | D. Eric Redmon, D.d.s. | Dentist | 36 W Whitlock Ave, Winchester, VA 22601-4432 | 2007-06-11 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 40391 |
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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.