OrganizationActive
Peterson Dental Group, PC
NPI 1912114257 · Dentist · Las Vegas, NV
Peterson Dental Group, PC is a Dentist organization in Las Vegas, NV (NPI 1912114257).
Provider details
- NPI number
- 1912114257
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Bradley Peterson, PC Owner/President(360) 869-7645
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
3016 W Charleston Blvd
Ste 145
Las Vegas, NV 89102-1977
Phone: (702) 380-1212
Fax: (702) 388-7420
Street-level locationGet directions
Mailing address
Po Box 872710
Vancouver, WA 98687-2710
Other names (DBA / former)
- Doing business as
- Gentle Dental Charleston
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Frequently asked questions
- What is Peterson Dental Group, PC's NPI number?
- Peterson Dental Group, PC's National Provider Identifier (NPI) is 1912114257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peterson Dental Group, PC?
- Peterson Dental Group, PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Peterson Dental Group, PC located?
- Peterson Dental Group, PC's practice location on file with NPPES is 3016 W Charleston Blvd, Las Vegas, NV 89102-1977.
- What is Peterson Dental Group, PC's phone number?
- The practice phone number listed in the NPPES registry for Peterson Dental Group, PC is (702) 380-1212.
- Who is the authorized official for Peterson Dental Group, PC?
- The authorized official listed on Peterson Dental Group, PC's NPPES record is Bradley Peterson, PC Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peterson Dental Group, PC's NPI active?
- Yes — Peterson Dental Group, PC's NPI (1912114257) is active in the NPPES registry as of the last update on 2025-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.