Carly Christoferson Petersen, DMD
General Practice Dentistry · Lake Oswego, OR
Carly Christoferson Petersen, DMD is a general practice dentistry with a practice address in Lake Oswego, Oregon, and NPI 1841844354, issued on Aug 1, 2019. Check the license (Oregon D11110, as entered in NPPES) with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Carly Christoferson Petersen
- Credential
- DMD
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- D11110 OR
Self-reported in NPPES; status is on the state search - Practice location
- 3900 Douglas Way, Lake Oswego, OR 97035
- Phone
- (503) 636-8446
- Enumerated
- Aug 1, 2019
- Record last updated
- Mar 1, 2022
- Fax
- (503) 636-4446
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 1,888 in Oregon → Look up another NPI →
Also registered at 3900 Douglas Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Cody Bywaters, LICENSED DENTURISTDenturist1407100233
- Alina Chobu, LMTMassage Therapist1770035669
- Timothy Edvalson, D.M.D.General Practice Dentistry1205821154
Verify Carly Christoferson Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this profession
Search for license D11110Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
58% fewer Medicare Part D claims than the average general practice dentistry in 2024
35 Medicare Part D claims for 23 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Amoxicillin19 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $22.46
1 payment: food and beverage; the largest payer was Patterson Companies, Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Carly Christoferson Petersen among 1,888 general practice dentistry records in Oregon
Carly Christoferson Petersen, DMD is one of 1,888 general practice dentistry records with a practice address in Oregon. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 87% of them.
- NPI issued2019 · 87% of these records are older, 11% newer
- In a Medicare fileYes · 60% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2022 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
33 general practice dentistry records list a practice address in Lake Oswego
They are 33 of the 1,377 NPPES records with a practice address in Lake Oswego, and 1,888 general practice dentistry records in Oregon.
All 1,888 in Oregon → Every provider in Lake Oswego → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Larry Bowden, DMDLake Oswego, OR 970351093708265
- Charles Branen, DMD, PCLake Oswego, OR 970351639178478
- Michael Criscione, D.M.DLake Oswego, OR 970351497971824
- Timothy Edvalson, D.M.D.Lake Oswego, OR 970351205821154
- Jack Henry, D.M.D.Lake Oswego, OR 970351306860556
- Sarah Levison, DMDLake Oswego, OR 970351013909274
- Ligia Morrison, D.D.SLake Oswego, OR 970351386861789
- Hadi Nouredine, D.M.D.Lake Oswego, OR 970351235150459
Common questions
What is Carly Christoferson Petersen, DMD's NPI number?
Carly Christoferson Petersen, DMD's National Provider Identifier (NPI) is 1841844354, issued on Aug 1, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Carly Christoferson Petersen, DMD located?
The NPPES record lists a practice address at 3900 Douglas Way, Lake Oswego, OR, 97035. Phone: (503) 636-8446. Providers update this record themselves, so call before visiting.
How can I verify Carly Christoferson Petersen, DMD's license?
NPPES lists Oregon license number D11110, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.
How much does Carly Christoferson Petersen, DMD prescribe under Medicare Part D?
In 2024, Carly Christoferson Petersen, DMD had 35 Medicare Part D claims for 23 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.