JERRY D PETERSON
NPI 1417246414
Dentist in Frisco, CO

Q: What is Jerry Peterson's NPI number?

The NPI number for Jerry Peterson is 1417246414. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Q: What is Jerry Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerry Peterson was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 31, 2011

360 PEAK ONE DR,, SUITE 100, FRISCO, CO 80443(970) 668-4053 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jerry D Peterson NPPES

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

JERRY D PETERSON (NPI 1417246414) is an individual dentist in Frisco, Colorado, licensed in Colorado (2696) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1417246414

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJERRY D PETERSON

Location Address360 PEAK ONE DR,, SUITE 100Frisco, CO 80443

Mailing AddressPo Box 4337Frisco, CO 80443-4337 · (970) 668-4053

Phone(970) 668-4053

Sole ProprietorNo

Enumeration DateMarch 31, 2011

✔ NPI 1417246414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CO · 2696

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.

360 PEAK ONE DR,, Frisco, CO 80443

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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 Jerry Peterson's NPI number?

The NPI number for Jerry Peterson is 1417246414. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Where is Jerry Peterson located?

Jerry Peterson practices at 360 Peak One Dr, Suite 100, Frisco, CO 80443. The listed phone number is (970) 668-4053.

What is Jerry 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 Jerry Peterson was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.