IndividualActive
Gary Peterson, D.D.S.
NPI 1538289467 · General Practice Dentistry · Antigo, WI
Gary Peterson, D.D.S. is a General Practice Dentistry provider in Antigo, WI (NPI 1538289467).
Provider details
- NPI number
- 1538289467
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2494 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2010 Progress Blvd
Antigo, WI 54409-2475
Phone: (715) 623-7221
Street-level locationGet directions
Mailing address
N7245 US Highway 45
Deerbrook, WI 54424-9246
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2007-07-09
Frequently asked questions
- What is Gary Peterson's NPI number?
- Gary Peterson's National Provider Identifier (NPI) is 1538289467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Peterson's specialty?
- Gary Peterson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Gary Peterson located?
- Gary Peterson's practice location on file with NPPES is 2010 Progress Blvd, Antigo, WI 54409-2475.
- What is Gary Peterson's phone number?
- The practice phone number listed in the NPPES registry for Gary Peterson is (715) 623-7221.
- Is Gary Peterson's NPI active?
- Yes — Gary Peterson's NPI (1538289467) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.