Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DEAN C PEDERSEN M.D.
NPI 1760471015
Family Medicine in Fort Drum, NY

Q: What is Dean Pedersen's NPI number?

The NPI number for Dean Pedersen is 1760471015. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is Dean Pedersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Dean Pedersen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 October 19, 2005

11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS, FORT DRUM, NY 13602(315) 772-4025(315) 772-9498 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Dean C Pedersen M.d. NPPES

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

DR. DEAN C PEDERSEN M.D. (NPI 1760471015) is an individual family medicine provider in Fort Drum, New York, licensed in Nebraska (19547) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1760471015

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DEAN C PEDERSENCredential: M.D.

Location Address11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALSFort Drum, NY 13602-5438

Mailing Address11050 Mount Belvedere Blvd, Usa Meddac Attn: CredentialsFort Drum, NY 13602-5438 · (315) 772-4025 · Fax (315) 772-9498

Phone(315) 772-4025

Fax(315) 772-9498

Sole ProprietorNo

Enumeration DateOctober 19, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1760471015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 19547

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602

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Other Providers at the Same Location NPPES 20

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

DR. LAUREL JARVIS PH.D.

Psychologist (Clinical)

11050 MOUNT BELVEDERE BLVD, BEHAVIORAL HEALTH DEPARTMENT, MEDDAC
FORT DRUM, NY 13602

Jefferson County (315) 772-4850

DAVID LEWIS KEYES RPA-C

Physician Assistant

11050 MOUNT BELVEDERE BLVD, USA MEDDAC CREDENTIALS
FORT DRUM, NY 13602

Jefferson County (315) 772-5508

BRADY SIMPKINS PA-C

Physician Assistant

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (802) 258-0301

MS. MARY ANGELA MACCULLOCH LCSW

Social Worker (Clinical)

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-7624

DR. ISAAC P MILLS DO

Family Medicine

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-2778

SAVITRI MOTAPARTHI M.D.

Pediatrics

11050 MOUNT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS
FORT DRUM, NY 13602

Jefferson County (315) 772-4025

DR. LUTHER ROSWELL WIEST D.O.

Family Medicine

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-3679

MADISON GERMAN LCSW

Social Worker (Clinical)

11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-2778

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 Dean Pedersen's NPI number?

The NPI number for Dean Pedersen is 1760471015. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Dean Pedersen located?

Dean Pedersen practices at 11050 Mount Belvedere Blvd Usa Meddac Attn: Credentials, Fort Drum, NY 13602. The listed phone number is (315) 772-4025.

What is Dean Pedersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dean Pedersen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.