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MICHAEL D PETERSON DDSMSPA
NPI 1154464998
Dentist - Endodontics in Silver Spring, MD

Active since February 14, 2007
10301 GEORGIA AVE STE 202, SILVER SPRING, MD 20902(301) 754-0500(301) 754-1220 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Michael D Peterson Ddsmspa NPPES

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

MICHAEL D PETERSON DDSMSPA (NPI 1154464998) is a healthcare organization registered as an endodontics in Silver Spring, Maryland and active in the NPI registry since February 2007. The organization lists Michael Dean Peterson, Corporate President, as its authorized official.

NPPES Registry Identity

NPI1154464998
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameMICHAEL D PETERSON DDSMSPA
Location Address10301 GEORGIA AVE STE 202Silver Spring, MD 20902-5020
Mailing Address10301 Georgia Ave Ste 202Silver Spring, MD 20902-5020 · (301) 754-0500 · Fax (301) 754-1220
Phone(301) 754-0500
Fax(301) 754-1220
Organization SubpartNo
Authorized OfficialMichael Dean PetersonCorporate President · (301) 754-0400
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154464998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MD · 8004
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
10301 GEORGIA AVE STE 202, Silver Spring, MD 20902
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Michael D Peterson Ddsmspa's NPI number?

The NPI number for Michael D Peterson Ddsmspa is 1154464998. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Michael D Peterson Ddsmspa located?

Michael D Peterson Ddsmspa is located at 10301 Georgia Ave Ste 202, Silver Spring, MD 20902. The listed phone number is (301) 754-0500.

What is Michael D Peterson Ddsmspa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Michael D Peterson Ddsmspa was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.