IndividualActive
Daniel Petersen, D.M.D.
NPI 1003498825 · Dentist · Shaw Afb, SC
Daniel Petersen, D.M.D. is a Dentist provider in Shaw Afb, SC (NPI 1003498825).
Provider details
- NPI number
- 1003498825
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 10414 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
420 Polifka Dr Bldg 1042
Shaw Afb, SC 29152-5100
Phone: (803) 895-6951
Approximate (ZIP-level) locationGet directions
Mailing address
420 Polifka Dr Bldg 1042
Shaw Afb, SC 29152-5100
Registry dates
- Enumerated
- 2021-04-21
- Last updated
- 2024-11-25
- Certified
- 2024-11-25
Frequently asked questions
- What is Daniel Petersen's NPI number?
- Daniel Petersen's National Provider Identifier (NPI) is 1003498825, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Petersen's specialty?
- Daniel Petersen is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Daniel Petersen located?
- Daniel Petersen's practice location on file with NPPES is 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100.
- What is Daniel Petersen's phone number?
- The practice phone number listed in the NPPES registry for Daniel Petersen is (803) 895-6951.
- Is Daniel Petersen's NPI active?
- Yes — Daniel Petersen's NPI (1003498825) is active in the NPPES registry as of the last update on 2024-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.