Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE ALLEN PETERSON, DDS, MD
Active Sole ProprietorJAKE ALLEN PETERSON, DDS, MD is a Oral & Maxillofacial Surgery healthcare provider located in BEND, Oregon. NPI 1043657364 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BEND, OR
Registration Details
- NPI Number
- 1043657364
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2013 (13.177481110856 yrs)
- Last Updated
- Mar 1, 2022
- Licenses
-
M-15171 (ID)DE60941667 (WA)D-5107-OS (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1475 SW CHANDLER AVE STE 101BEND, OR, 977023239Browse OR providers · Browse ZIP 97702
- Phone
- 5416173993
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in BEND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. DONALD CHARLES DELISI JR. | D.M.D. | 1588633515 |
| DR. STEVEN MARSHALL ROGERS | DMD | 1992810154 |
| NATHAN D LENOX | DMD, MD | 1245440676 |
| AMIR AZARISAMANI | MD, DMD | 1598021578 |
| GARRETT WELCH | DDS | 1689932063 |
| DR. MARK SCHLAM | DMD | 1750780441 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.