DR. AUSTIN M PETERSON DDS - NPI 1639650187 - Dentist in Indianapolis, IN

Q: What is Austin Peterson's NPI number?

The NPI number for Austin Peterson is 1639650187. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Q: What is Austin 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 Austin Peterson was last updated on August 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Austin M Peterson Dds NPPES

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

DR. AUSTIN M PETERSON DDS (NPI 1639650187) is an individual dentist in Indianapolis, Indiana, licensed in Indiana (12013338A) and active in the NPI registry since August 2018. He maintains a secondary practice location in Eau Claire.

NPPES Registry Identity

NPI1639650187

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. AUSTIN M PETERSONCredential: DDS

Location Address3935 E SOUTHPORT RDIndianapolis, IN 46237-3203

Mailing Address1616 Rolling Hills DrCrystal Lake, IL 60014-2969

Phone(317) 244-3000

Sole ProprietorYes

Enumeration DateAugust 23, 2018

Last NPPES UpdateAugust 19, 20202 updates tracked since enumeration

NPPES CertifiedAugust 19, 2020

✔ NPI 1639650187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in IN · 12013338A✔ Licensed in WI · 1001921-15

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.

3935 E SOUTHPORT RD, Indianapolis, IN 46237

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Secondary Practice Location 1

Location 13809 Oakwood Mall DrEau Claire, WI 54701-3042 · Phone (715) 835-5300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

LOUIS STUMPF DDS

Dentist