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DANIEL BRYCE PETERSEN D.M.D.
NPI 1003498825
Dentist in Shaw Afb, SC

Active since April 21, 2021
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152(803) 895-6951 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2024, Aug 17, 2023, Apr 21, 2021 (3 updates tracked since 2021).

About Daniel Bryce Petersen D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL BRYCE PETERSEN D.M.D. (NPI 1003498825) is an individual dentist in Shaw Afb, South Carolina, licensed in South Carolina (10414) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1003498825
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDANIEL BRYCE PETERSENCredential: D.M.D.
Location Address420 POLIFKA DR BLDG 1042Shaw Afb, SC 29152-5100
Mailing Address420 Polifka Dr Bldg 1042Shaw Afb, SC 29152-5100 · (803) 695-6988
Phone(803) 895-6951
Sole ProprietorNo
Enumeration DateApril 21, 2021
Last NPPES UpdateNovember 25, 20243 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1003498825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 10414
Definition
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.
420 POLIFKA DR BLDG 1042, Shaw Afb, SC 29152
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODY K DARRINGTON DO
Family Medicine
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-2273
REBECCA SARAH SLOGIC M.D.
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6356
DR. ANGELIQUE STACEY ANN FORRESTER MD
Family Medicine
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (038) 956-2458
DR. JEFFREY ALLAN BANKS M.D.
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6356
JOHN ALAN BARNETT RPH
Pharmacist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6464
MR. BRIAN E. GRAY D.P.T.
Physical Therapist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 728-0421
CHARLENE UBAH OD
Optometrist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6579
DR. DOMINIC ANTHONY DEFRANCIS M.D.
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Petersen's NPI number?

The NPI number for Daniel Petersen is 1003498825. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Daniel Petersen located?

Daniel Petersen practices at 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152. The listed phone number is (803) 895-6951.

What is Daniel Petersen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Daniel Petersen accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Daniel Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Petersen was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.