IndividualActive
Robert Peters, DMD
NPI 1629064829 · General Practice Dentistry · Jacksonville, FL
Provider details
- NPI number
- 1629064829
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 38732 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Navy Medicine Support Command/Medical Staff Services
Bldg H 2005 Knight Lane
Jacksonville, FL 32212-0140
Phone: (760) 725-5102
Approximate (ZIP-level) locationGet directions
Mailing address
16 Calle Congrejo
San Clemente, CA 92673-6839
Registry dates
- Enumerated
- 2005-09-22
- Last updated
- 2009-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.