Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY IAN PETERSEN, DMD
ActiveDR. JEFFREY IAN PETERSEN, DMD is a General Dentistry healthcare provider located in SANTA ROSA, California. NPI 1669454211 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SANTA ROSA, CA
Registration Details
- NPI Number
- 1669454211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2005 (20.693076388566 yrs)
- Last Updated
- Jul 8, 2007
- License
-
36313 (CA)
Practice Information
- Address
-
2448 GUERNEVILLE RDSANTA ROSA, CA, 954034175Browse CA providers · Browse ZIP 95403
- Phone
- 7075792808
- Fax
- 7075792877
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. HARRY FRANCIS ALBERS | D.D.S. | 1659374643 |
| DR. JAMES JOSEPH FORNI | D.D.S. | 1376532986 |
| DR. DAVID GLENN HARRIS | D.D.S. | 1275523987 |
| DR. JEFFREY D. BEAN | D.D.S. | 1609866888 |
| DARIN JAMES SCHETTLER | D.D.S. | 1568445856 |
| DR. SUSAN PETERSEN | DMD | 1912984352 |
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.