DR. GRANT DEE PETERSEN D.D.S.
NPI 1790031128
Dentist in Fort Wainwright, AK

Q: What is Grant Petersen's NPI number?

The NPI number for Grant Petersen is 1790031128. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Q: What is Grant Petersen'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 Grant Petersen was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 03, 2012

1060 GAFFNEY RD STOP 7500, FORT WAINWRIGHT, AK 99703(907) 353-5530(317) 361-5530 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Grant Dee Petersen D.d.s. NPPES

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

DR. GRANT DEE PETERSEN D.D.S. (NPI 1790031128) is an individual dentist in Fort Wainwright, Alaska, licensed in Colorado (DEN.00201800) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1790031128

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. GRANT DEE PETERSENCredential: D.D.S.

Location Address1060 GAFFNEY RD STOP 7500Fort Wainwright, AK 99703-5007

Mailing Address1060 Gaffney Rd Stop 7500Fort Wainwright, AK 99703-5007 · Fax (580) 442-4002

Phone(907) 353-5530

Fax(317) 361-5530

Sole ProprietorYes

Enumeration DateAugust 3, 2012

Last NPPES UpdateJuly 16, 2013

✔ NPI 1790031128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CO · DEN.00201800

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.

1060 GAFFNEY RD STOP 7500, Fort Wainwright, AK 99703

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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.

DR. ANDREW VICTOR SANCHEZ DDS

Dentist

1060 GAFFNEY RD STOP 7500, U S ARMY DENTAL ACTIVITY
FORT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 361-5530

DR. SHANE DAVID RHOTON DMD

Dentist (General Practice)

1060 GAFFNEY RD STOP 7500
FORT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 361-5530

AURY HERNANDEZ

Dental Hygienist

1060 GAFFNEY RD STOP 7500
FORT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 361-5530

BASSETT ARMY COMMUNITY HOSPITAL

Clinic/Center (Military/U.S. Coast Guard Outpatient)

1060 GAFFNEY RD STOP 7500, MCDS-DD-HOS
FORT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 361-5172

MITCHELL P KREUZE DDS

Dentist (General Practice)

1060 GAFFNEY RD STOP 7500
FT WAINWRIGHT, AK 99703

Fairbanks North Star Borough (907) 353-5530

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 Grant Petersen's NPI number?

The NPI number for Grant Petersen is 1790031128. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Grant Petersen located?

Grant Petersen practices at 1060 Gaffney Rd Stop 7500, Fort Wainwright, AK 99703. The listed phone number is (907) 353-5530.

What is Grant Petersen's specialty?

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

What insurance does Grant Petersen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Grant Petersen 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 Grant Petersen was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.