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DR. GORDON CHARLES PETERSON D.D.S.
NPI 1902073174
Dentist - General Practice in Cedar Rapids, IA

Active since May 15, 2008
2701 1ST AVE SE, CEDAR RAPIDS, IA 52402(319) 364-5561(319) 364-1717 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gordon Charles Peterson D.d.s. NPPES

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

DR. GORDON CHARLES PETERSON D.D.S. (NPI 1902073174) is an individual general practice provider in Cedar Rapids, Iowa, licensed in Iowa (6573) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1902073174
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GORDON CHARLES PETERSONCredential: D.D.S.
Location Address2701 1ST AVE SECedar Rapids, IA 52402-4834
Mailing Address2701 1st Ave SeCedar Rapids, IA 52402-4834 · (319) 364-5561 · Fax (319) 364-1717
Phone(319) 364-5561
Fax(319) 364-1717
Sole ProprietorNo
Enumeration DateMay 15, 2008
✔ NPI 1902073174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 6573
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.
2701 1ST AVE SE, Cedar Rapids, IA 52402
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Other Identifiers 1

Medicaid0500744IA

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

DENTAL CARE ASSOCIATES
Dentist (General Practice)
2701 1ST AVE SE
CEDAR RAPIDS, IA 52402
Linn County (319) 364-5561

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 Gordon Peterson's NPI number?

The NPI number for Gordon Peterson is 1902073174. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Gordon Peterson located?

Gordon Peterson practices at 2701 1st Ave SE, Cedar Rapids, IA 52402. The listed phone number is (319) 364-5561.

What is Gordon Peterson's specialty?

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

What insurance does Gordon Peterson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Iowa list Gordon Peterson 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 Gordon Peterson was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.