DR. ALAN CLARK PETERSON SR. D.M.D.
NPI 1174975429
Dentist - Dental Public Health in Atlanta, GA

Active since July 11, 2016
601 MCDONOUGH BLVD SE, ATLANTA, GA 30315(404) 635-5462 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alan Clark Peterson Sr. D.m.d. NPPES

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

DR. ALAN CLARK PETERSON SR. D.M.D. (NPI 1174975429) is an individual dental public health provider in Atlanta, Georgia, licensed in Missouri (015796) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1174975429
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameDR. ALAN CLARK PETERSON SR.Credential: D.M.D.
Location Address601 MCDONOUGH BLVD SEAtlanta, GA 30315-4400
Mailing Address601 Mcdonough Blvd SeAtlanta, GA 30315-4400 · (404) 635-5462
Sole ProprietorYes
Enumeration DateJuly 11, 2016
NPI 1174975429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License Licensed in MO · 015796
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
601 MCDONOUGH BLVD SE, Atlanta, GA 30315

Other Providers at the Same Location NPPES 4

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

Internal Medicine
601 MCDONOUGH BLVD SE
ATLANTA, GA 30315
Pharmacist
601 MCDONOUGH BLVD SE
ATLANTA, GA 30315
Nurse Practitioner (Family)
601 MCDONOUGH BLVD SE
ATLANTA, GA 30315
Psychologist
601 MCDONOUGH BLVD SE
ATLANTA, GA 30315

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 Alan Peterson's NPI number?

The NPI number for Alan Peterson is 1174975429. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Alan Peterson located?

Alan Peterson practices at 601 Mcdonough Blvd SE, Atlanta, GA 30315. The listed phone number is (404) 635-5462.

What is Alan Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Alan Peterson was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.