Peter Zagursky Jr., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10766 Issued in MD

Practice address

12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6345

Phone

(800) 325-3982

Fax

(877) 685-9866

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 1, 2014 through Nov 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gos Chesapeake PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Chesapeake, VA
  • NPI 1093663411
  NPD (past)
• Scott R Goodove DDS PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Virginia Beach, VA
  • NPI 1043498231
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811960818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 SMITHVILLE DR",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207549665",
            "telephone_number": "410-286-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12647 OLIVE BLVD",
            "address_2": "SUITE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416345",
            "telephone_number": "800-325-3982",
            "fax_number": "877-685-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGURSKY",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "10766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Zaegel
• Affan Zafar, M.D.
• Homa Rachel Zafer
• Jessica Lauren Zager, PT
• Allison Casey Jussel Zagst, OD
• Aalif Zaheer, M.D.
• Muhammad Zaheer, MD
• Mehdi Zahmatkesh
• Caitlin Zahn, NNP
• Brandee Judy Zahner, OTR

• Oral and Maxillofacial Surgery (Dentist) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.