OrganizationActive
Gerald D. Petersen, D.D.S., S.c.
NPI 1558464891 · General Practice Dentistry · Waukesha, WI
Gerald D. Petersen, D.D.S., S.c. is a General Practice Dentistry organization in Waukesha, WI (NPI 1558464891).
Provider details
- NPI number
- 1558464891
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gerald Petersen, Officer(262) 548-3555
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
S22 W22660 East Broadway
Ste 2b
Waukesha, WI 53186
Phone: (262) 548-3555
Fax: (262) 965-2826
Street-level locationGet directions
Mailing address
S22 W22660 East Broadway
Waukesha, WI 53186
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Gerald D. Petersen, D.D.S., S.c.'s NPI number?
- Gerald D. Petersen, D.D.S., S.c.'s National Provider Identifier (NPI) is 1558464891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gerald D. Petersen, D.D.S., S.c.?
- Gerald D. Petersen, D.D.S., S.c. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Gerald D. Petersen, D.D.S., S.c. located?
- Gerald D. Petersen, D.D.S., S.c.'s practice location on file with NPPES is S22 W22660 East Broadway, Waukesha, WI 53186.
- What is Gerald D. Petersen, D.D.S., S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Gerald D. Petersen, D.D.S., S.c. is (262) 548-3555.
- Who is the authorized official for Gerald D. Petersen, D.D.S., S.c.?
- The authorized official listed on Gerald D. Petersen, D.D.S., S.c.'s NPPES record is Gerald Petersen, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gerald D. Petersen, D.D.S., S.c.'s NPI active?
- Yes — Gerald D. Petersen, D.D.S., S.c.'s NPI (1558464891) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.