DR. GARY RAY PETERSON (NPI# 1285799304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285799304 |
| Entity Type | Individual |
| Full Name | DR. GARY RAY PETERSON |
| Credential | DDS |
| Practice Address |
3815 Stephens Ave Missoula MT 59801-8505 |
| Practice Telephone | 4067280200 |
| Mailing Telephone | 4067280201 |
| Mailing Fax Number | 4067280201 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2016-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1359 | MT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0120037 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417299074 | Gary L Peterson | Veterinarian | 1220 S State St, Salt Lake City, UT 84111-4535 | 2013-03-21 |
| 1447557616 | Gary G Peterson | Physical Therapist | 4461 Woodbridge Rd, Niceville, FL 32578-2387 | 2011-02-23 |
| 1114130465 | Gary Glen Peterson | Psychologist | 675 Sun Valley Road, C, Ketchum, ID 83340 | 2007-05-07 |
| 1518006147 | Gary S Peterson | Dentist | 123 S Stone Ave, Tucson, AZ 85701-1914 | 2007-02-06 |
| 1164589610 | Gary Robert Peterson | Counselor | 1538 The Greens Way Ste 101, Jacksonville Beach, FL 32250-1400 | 2007-01-03 |
| 1629163514 | Gary Lee Peterson | Chiropractor | 7100 Menaul Blvd Ne, Albuquerque, NM 87110-3688 | 2006-10-04 |
| 1417065566 | Gary Peterson | Psychiatry & Neurology | 103 Edwards Ridge Rd, Chapel Hill, NC 27517-9201 | 2006-08-28 |
| 1699724955 | Gary M Peterson | Family Medicine | 4702 Grand Ave, Duluth, MN 55807-2742 | 2006-05-06 |
| 1831541812 | Gary Daniel Peterson | Anesthesiology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2016-07-01 |
| 1114384039 | Gary Peterson | Counselor | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2016-01-22 |
| Street Address |
3815 STEPHENS AVE |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-8505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528302841 | Rick Hoaglin Dmd PC | Dentist | 3815 Stephens Ave, Missoula, MT 59801-8505 | 2012-11-27 |
| 1639205404 | George Frederick Hoaglin IIi | Dentist | 3815 Stephens Ave, Missoula, MT 59801-8505 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264647 | Jeffrey Paul Green | Dentist | 109 Grandview Way, Missoula, MT 59803-3359 | 2013-06-06 |
| 1255690939 | Lindsay Marie Rogers | Dentist | 3111 S Grant St, Missoula, MT 59801-8341 | 2012-05-15 |
| 1356526867 | Jared Reed Little | Dentist | 1920 S Russell St, Missoula, MT 59801-6624 | 2008-01-02 |
| 1700097805 | Annette Dusseau | Dentist | Sapphire Dental Group, PC, 2901 Brooks St., Missoula, MT 59801 | 2007-05-24 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1689719320 | Joseph B Hylton | Dentist | 1009 S Reserve St, Missoula, MT 59801-3140 | 2007-02-20 |
| 1164560843 | Richard Elliott Moore | Dentist | 2901 Brooks Street, Sapphire Dental Group PC, Missoula, MT 59801 | 2007-02-02 |
| 1457497653 | Wayne L Richardson | Dentist | 918 Sw Higgins, Missoula, MT 59803-3606 | 2007-01-29 |
| 1063566172 | Ronald F Rosser Dds PC | Dentist | 690 Sw Higgins Ave, Ste H, Missoula, MT 59803-1433 | 2007-01-23 |
| Find all providers in MISSOULA | ||||
Please comment or provide details below to improve the information on DR. GARY RAY PETERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.