Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN MICHAEL BROWN PETERSEN, D.M.D.
Active Sole ProprietorJONATHAN MICHAEL BROWN PETERSEN, D.M.D. is a Orthodontics healthcare provider located in ROSEBURG, Oregon. NPI 1821433848 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · ROSEBURG, OR
Registration Details
- NPI Number
- 1821433848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2013 (13.307428552179 yrs)
- Last Updated
- Jul 14, 2016
- License
-
D10421 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 SE DOUGLAS AVEROSEBURG, OR, 974703120Browse OR providers · Browse ZIP 97470
- Phone
- 5416725721
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| DR. BRUCE WALTER ROMAN | D.D.S. | 1669519237 |
| DR. SHAWN LEVI LEMERT | D.D.S. | 1932237070 |
| DR. ROBERT EARL VARNER | D.M.D. | 1619108966 |
| SURYA JOSEPH | — | 1992251391 |
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.