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

Individual provider Dentist · NPI 1871756924

Gilman Peterson III, DMDMD is an Oral Surgery in Winchester, Kentucky. Graduated from University of Kentucky College of Medicine in 2007, 19 years ago. Practices with Oral Surgery and Implant Associates, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
19
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

1303 W Lexington Ave
Winchester, KY 40391-3100
Phone: (859) 744-0677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 7976 (KY)
Dentist Taxonomy 122300000X · Licence 7976 (KY)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 7976 (KY)

Record details

NPI number1871756924
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDMD
Sole proprietorYes
NPI enumeratedJuly 9, 2008
Last updated in NPPESMarch 9, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Oral Surgery And Implant Associates — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winchester