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DOUGLAS E PETERSON DMD
NPI 1003813445
Dentist in Farmington, CT

Active since June 30, 2005
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2952(860) 679-4760 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas E Peterson Dmd NPPES

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

DOUGLAS E PETERSON DMD (NPI 1003813445) is an individual dentist in Farmington, Connecticut, licensed in Connecticut (007480) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1003813445
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDOUGLAS E PETERSONCredential: DMD
Location Address263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing Address263 Farmington Ave, Provider EnrollmentFarmington, CT 06030-2212 · (860) 679-7503 · Fax (860) 679-1610
Phone(860) 679-2952
Fax(860) 679-4760
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1003813445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CT · 007480
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 007480 (CT)
263 FARMINGTON AVE, Farmington, CT 06030
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Other Identifiers 1

Medicaid1003813445CT

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.

STATE OF CONNECTICUT HEALTH CENTER
Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-7503
MR. IAN THOMAS MCNEILL
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8080
DR. LUIS CHAVEZ DE PAZ DDS, MS, PHD
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2719
TARUNYA REDDY VEDERE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3245
ZACHARY TALLENT SOLOMON
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467
MICHAEL CONNOLLY
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4733
EMILY WENG DO
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3158
ANDREW KEMERLEY DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467

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 Douglas Peterson's NPI number?

The NPI number for Douglas Peterson is 1003813445. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Douglas Peterson located?

Douglas Peterson practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2952.

What is Douglas Peterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Douglas Peterson was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.