Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL GEORGE PETERSEN, D.D.S.
Active Sole ProprietorDR. SAMUEL GEORGE PETERSEN, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in SONORA, California. NPI 1780848119 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SONORA, CA
Registration Details
- NPI Number
- 1780848119
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2008 (18.044469162021 yrs)
- Last Updated
- Jul 15, 2008
- License
-
51511 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
940 SYLVA LN STE K1SONORA, CA, 953705969Browse CA providers · Browse ZIP 95370
- Phone
- 2095325578
- Fax
- 2095326216
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in SONORA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SLIM BOUCHOUCHA | D.D.S.,M.S. | 1275652422 |
| DR. FREDERICK R MATHEWS | D.D.S.,M.S. | 1639298755 |
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.