Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary John Peterson, DDS

Individual provider General Practice Dentistry · NPI 1538289467

Gary John Peterson, DDS is a General Practice Dentistry in Antigo, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2010 Progress Blvd
Antigo, WI 54409-2475
Phone: (715) 623-7221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2494 (WI)

Record details

NPI number1538289467
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 2, 2007
Last updated in NPPESJuly 9, 2007
Mailing addressN7245 Us Highway 45, Deerbrook, WI 54424-9246

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