GERALD D PETERSEN D.D.S.
NPI 1194922575
Dentist - General Practice in Waukesha, WI

Q: What is Gerald Petersen's NPI number?

The NPI number for Gerald Petersen is 1194922575. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Q: What is Gerald Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gerald Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 29, 2007

S22 W22660 EAST BROADWAY #2B, WAUKESHA, WI 53186(262) 548-3555 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gerald D Petersen D.d.s. NPPES

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

GERALD D PETERSEN D.D.S. (NPI 1194922575) is an individual general practice provider in Waukesha, Wisconsin, licensed in Wisconsin (3340) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1194922575

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameGERALD D PETERSENCredential: D.D.S.

Location AddressS22 W22660 EAST BROADWAY #2BWaukesha, WI 53186

Mailing AddressS41w34610 Big Oak DrDousman, WI 53118-9721

Phone(262) 548-3555

Sole ProprietorNo

Enumeration DateJune 29, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194922575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 3340

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.

S22 W22660 EAST BROADWAY #2B, Waukesha, WI 53186

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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 Gerald Petersen's NPI number?

The NPI number for Gerald Petersen is 1194922575. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Gerald Petersen located?

Gerald Petersen practices at S22 W22660 East Broadway #2b, Waukesha, WI 53186. The listed phone number is (262) 548-3555.

What is Gerald Petersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Gerald Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.