Dr. Gordon Charles Peterson is a Cedar Rapids, Iowa based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gordon Charles Peterson is
6573 for General Practice Dentistry in Iowa. His current practice location is
2701 1st Ave Se, Cedar Rapids. Patients can reach him at
319-364-5561.
Dr. Gordon Charles Peterson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gordon Charles Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Gordon Charles Peterson |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2701 1st Ave Se, Cedar Rapids,
Iowa, 52402-4834 |
| Phone: | 319-364-5561 |
| Fax: | 319-364-1717 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1902073174 |
| NPI Enumeration Date: | 15 May, 2008 |
| NPI Last Update On: | 15 May, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gordon Charles Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| 6573 | General Practice Dentistry | Iowa | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gordon Charles Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0500744 | Medicaid | Iowa | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2701 1st Ave Se,
Cedar Rapids, Iowa |
| Zip: | 52402-4834 |
| Phone Number: | 319-364-5561 |
| Fax Number: | 319-364-1717 |
Patients can reach Dr. Gordon Charles Peterson at
2701 1st Ave Se, Cedar Rapids, Iowa or can
call to book an appointment on 319-364-5561.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.