OrganizationActive
Peterson & Reddy, D.D.S., P.A.
NPI 1649489352 · General Practice Dentistry · Waldorf, MD
Provider details
- NPI number
- 1649489352
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ajay Reddy, Vice-President(301) 843-3367
- License
- 12834 (MD)
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
11855 Holly Ln
Suite 103
Waldorf, MD 20601-3114
Phone: (301) 843-3367
Street-level locationGet directions
Mailing address
11855 Holly Ln
Waldorf, MD 20601-3114
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 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.