VENN R PETERSON (D.D.S.) – General Practice Dentistry, NPI 1679635056

VENN R PETERSON (D.D.S.) is a healthcare provider. based in Lacey, Washington. specializing in General Practice Dentistry. They hold the professional credentials D.D.S.. They hold a License No. 8985 (WA). The NPI Number for VENN R PETERSON (D.D.S.) is 1679635056

Main info

Male
Name
VENN R PETERSON (D.D.S.)
NPI
1679635056
Phone
(360) 459-4420
Address
5024 LACEY BLVD SE
Enumeration Date
14 December 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for VENN R PETERSON (D.D.S.)

  • 5024, Lacey Boulevard Southeast, Lacey, Thurston County, Washington, 98503, United States

    LACEY, WA 985035729

    Phone: (360) 459-4420

    Fax: (360) 453-4425

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $1,576.

Total Amount is formed as General ($1,576) + Research ($0) + Ownership ($0) = $1,576.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Dentsply Sirona Inc ($1,481).

Total Amount

$1,576

General + Research + Ownership

Payments

9

Total payment records

General Amount

$1,576

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98503)

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Reviews

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Frequently asked questions

Can I verify VENN R PETERSON (D.D.S.) with an NPI only?
You can start verification with NPI 1679635056 for VENN R PETERSON (D.D.S.), then check state licensing separately.
Does the file indicate VENN R PETERSON (D.D.S.) is practicing under active NPI?
Directory data currently reports VENN R PETERSON (D.D.S.) as active.
What taxonomy line describes VENN R PETERSON (D.D.S.)?
For research purposes, treat VENN R PETERSON (D.D.S.) as General Practice Dentistry in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for VENN R PETERSON (D.D.S.)?
VENN R PETERSON (D.D.S.)'s geographic hint is Lacey, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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