DR. JILL PETERSON (NPI# 1356379739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356379739 |
| Entity Type | Individual |
| Full Name | DR. JILL PETERSON |
| Credential | DDS, MPH, PHD |
| Practice Address |
906 N Fielder Rd Arlington TX 76012-3195 |
| Practice Telephone | 8174614292 |
| Practice Fax Number | 8172760229 |
| Mailing Telephone | 8174614292 |
| Mailing Fax Number | 8172760229 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
18969 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134654478 | Jill Peterson | Occupational Therapist | 914 S Jefferson St, Apt. 1, Moscow, ID 83843-3163 | 2017-04-24 |
| 1487977906 | Jill A Peterson | Pharmacist | 47-49 Lake Ave. Extension, Danbury, CT 06810 | 2010-03-11 |
| 1922153931 | Jill Ann Peterson | Psychologist | 520 N Broad St # 1, Mankato, MN 56001-3421 | 2007-01-23 |
| 1861562274 | Jill C Peterson | Psychologist | 6600 Kalanianaole Hwy., Suite 225, Honolulu, HI 96825 | 2006-11-09 |
| 1629074232 | Jill Christine Peterson | Emergency Medicine | 622 Washington St, Comprehensive Womens Health Services, Watertown, NY 13601-4036 | 2005-06-28 |
| 1144529850 | Jill Anne Peterson | Nurse Practitioner | 55 Fruit St, Warren 11 - Pediatric Surgery, Boston, MA 02114-2621 | 2011-03-21 |
| 1700107612 | Jill Peterson | Specialist | 6125 N Sunshine St, Coeur D Alene, ID 83815 | 2010-06-15 |
| 1669695136 | Jill M Peterson | Psychologist | 3801 Spring St, Racine, WI 53405-1667 | 2007-04-11 |
| 1134203326 | Jill M Peterson | Family Medicine | 602 N Main St, Summerville, SC 29483-6627 | 2006-10-24 |
| Street Address |
906 N FIELDER RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76012-3195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275063638 | Uptown Endodontics, Pa | Dentist | 906 N Fielder Rd, Arlington, TX 76012-3195 | 2017-06-18 |
| 1902920861 | Mack Pirkey | Dentist | 906 N Fielder Rd, Arlington, TX 76012-3195 | 2007-03-18 |
| 1821124363 | Mack Pirkey D.d.s. P.a. | Dentist | 906 N Fielder Rd, Arlington, TX 76012-3195 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
| 1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
| 1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
| 1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
| 1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
| 1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
| 1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
| 1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
| 1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
| Find all providers in zip 76012 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181986 | Endodontic Associates of Arlington, Pllc | Dentist | 906 N Fielder Rd Ste C, Arlington, TX 76012-3148 | 2018-10-29 |
| 1164911863 | Arlington Dental Excellence Specialists Pllc | Dentist | 3801 Fairfax Dr Ste 54, Arlington, VA 22203-1762 | 2018-05-08 |
| 1063861672 | Gentle Care Dentists | Dentist | 901 N Stuart Street, Suite 101, Arlington, VA 22203 | 2016-06-06 |
| 1417363359 | Siddarth Sehgal | Dentist | 1021 N Garfield St Apt 320, Arlington, VA 22201-2559 | 2014-07-10 |
| 1063848265 | Kevin Burke | Dentist | 3710 168th Street Nw, Bldg. D, Suite 101, Arlington, WA 98223 | 2013-09-19 |
| 1124368139 | Xiomara Yolanda Rivera Henrandez | Dentist | 1600 Wilson Blvd Ste 960, Arlington, VA 22209-2509 | 2013-02-28 |
| 1548564297 | Arlington Endodontics, Pllc | Dentist | 4350 Northfairfax Drive, Suite 160, Arlington, VA 22203-1695 | 2011-01-10 |
| 1952526063 | Charles E Brown IIi | Dentist | 2755 Matlock Road, Arlington, TX 76015 | 2007-04-16 |
| 1457406126 | Richard Bowman | Dentist | 17306 Smokey Pt Dr, #21, Arlington, WA 98223 | 2007-01-24 |
| 1568556678 | Deborah C Loth | Dentist | 2755 Matlock Rd, Arlington, TX 76015-2529 | 2006-10-03 |
| Find all providers in ARLINGTON | ||||
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| 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.