Doctor profile · Federal record

Dr. Grant Petersen, D.D.S.

Dentist · Fort Wainwright, AK

  • NPI 1790031128
  • 14 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1060 Gaffney RD Stop 7500
Fort Wainwright, AK 997035007
(907) 353-5530
fax (317) 361-5530

Credentials & registration

NPPES · NUCC
NPI registered
August 2012 — 14 yrs on file
Profile last updated
July 16, 2013
Specialty taxonomy
122300000X — NUCC code
State license (1)
Colorado #DEN.00201800

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1790031128. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$152
Transactions
4
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Dentsply Sirona Inc 2 $83.38
Keystone Dental Inc. 1 $50.07
ZIMVIE INC. 1 $18.33

By nature of payment

Food and Beverage
$152

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
108
Patients
88
Total drug cost
$517
Drug Type Claims Patients Total cost
Chlorhexidine Gluconate Generic 36 27 $208
Amoxicillin Generic 35 28 $143
Ibuprofen Generic 23 19 $96
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 14 14 $70

Frequently asked questions

Auto-generated from federal data
What is Dr. Grant Petersen's medical specialty?
Dr. Grant Petersen practices Dentist in Fort Wainwright, AK.
Where does Dr. Grant Petersen practice?
Dr. Grant Petersen practices at 1060 Gaffney RD Stop 7500, Fort Wainwright, AK 997035007. Office phone: 9073535530.
What is Dr. Grant Petersen's NPI?
Dr. Grant Petersen's National Provider Identifier (NPI) is 1790031128, issued by NPPES.