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DR. WILLIAM JAMES PETERSON III D.D.S.
NPI 1124050828
Dentist - General Practice in Bellevue, WA

Active since July 06, 2006
1540 140 AVE NE SUITE 101, BELLEVUE, WA 98005(425) 502-9743(425) 698-1580 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2021, Oct 20, 2021 (2 updates tracked since 2021).

About Dr. William James Peterson Iii D.d.s. NPPES

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

DR. WILLIAM JAMES PETERSON III D.D.S. (NPI 1124050828) is an individual general practice provider in Bellevue, Washington, licensed in Washington (DE00008555) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1124050828
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WILLIAM JAMES PETERSON IIICredential: D.D.S.
Location Address1540 140 AVE NE SUITE 101Bellevue, WA 98005
Mailing Address1540 140 Ave Ne Suite 101Bellevue, WA 98005 · (425) 502-9743 · Fax (425) 698-1580
Phone(425) 502-9743
Fax(425) 698-1580
Sole ProprietorYes
Enumeration DateJuly 6, 2006
Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
✔ NPI 1124050828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00008555
Definition
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.
1540 140 AVE NE SUITE 101, Bellevue, WA 98005
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Other Identifiers 1

Medicaid5044821WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 William Peterson's NPI number?

The NPI number for William Peterson is 1124050828. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is William Peterson located?

William Peterson practices at 1540 140 Ave NE Suite 101, Bellevue, WA 98005. The listed phone number is (425) 502-9743.

What is William Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does William Peterson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list William Peterson 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 William Peterson was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.