1. Home
  2. Directory
  3. Maryland
  4. Waldorf
  5. Dentist
  6. NPI Profile

PETERSON & REDDY, D.D.S., P.A.
NPI 1649489352
Dentist - General Practice in Waldorf, MD

Active since May 21, 2007
11855 HOLLY LN, SUITE 103, WALDORF, MD 20601(301) 843-3367 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peterson & Reddy, D.d.s., P.a. NPPES

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

PETERSON & REDDY, D.D.S., P.A. (NPI 1649489352) is a healthcare organization registered as a general practice in Waldorf, Maryland and active in the NPI registry since May 2007. The organization lists Ajay Reddy, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1649489352
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePETERSON & REDDY, D.D.S., P.A.
Location Address11855 HOLLY LN, SUITE 103Waldorf, MD 20601-3114
Mailing Address11855 Holly Ln, Suite 103Waldorf, MD 20601-3114
Phone(301) 843-3367
Organization SubpartNo
Authorized OfficialAjay ReddyVice-president · (301) 843-3367
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649489352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 12834
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.
11855 HOLLY LN, Waldorf, MD 20601
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. DONALD P PETERSON DDS, FAGD
Dentist (General Practice)
11855 HOLLY LN, SUITE #103
WALDORF, MD 20601
Charles County (301) 645-7585
DR. AMAL RASTOGI DMD, MSD, PHD
Dentist (Periodontics)
11855 HOLLY LN, SUITE 106
WALDORF, MD 20601
Charles County (301) 645-3100

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 Peterson & Reddy, D.D.S., P.A.'s NPI number?

The NPI number for Peterson & Reddy, D.D.S., P.A. is 1649489352. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Peterson & Reddy, D.D.S., P.A. located?

Peterson & Reddy, D.D.S., P.A. is located at 11855 Holly Ln Suite 103, Waldorf, MD 20601. The listed phone number is (301) 843-3367.

What is Peterson & Reddy, D.D.S., P.A.'s specialty?

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

What insurance does Peterson & Reddy, D.D.S., P.A. accept?

Health plans from UnitedHealthcare list Peterson & Reddy, D.D.S., P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peterson & Reddy, D.D.S., P.A. 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 5 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.