Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THEODORE ALAN PETERSON, D.D.S.

Active Sole Proprietor

DR. THEODORE ALAN PETERSON, D.D.S. is a General Dentistry healthcare provider located in LOS ALTOS, California. NPI 1972712123 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LOS ALTOS, CA

Registration Details

NPI Number: 1972712123
Provider Type: Individual
Gender: Male
NPI Issued: May 22, 2007 (19.245683659467 yrs)
Last Updated: Jul 8, 2007
License: 21281 (CA)
Sole Proprietor: Yes

Practice Information

Address: 826 ALTOS OAKS DR

SUITE 1

LOS ALTOS, CA, 940245403
Browse CA providers · Browse ZIP 94024
Phone: 6509416557
Fax: 6509416559
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in LOS ALTOS, CA

Name	Credential	NPI
DR. JOHN BRUCE MCBIRNEY	D.D.S.	1356344360
DR. JOHN R LICKING	DDS	1376524140
DR. JAMES A KEATS	D.D.S.	1134163074
DR. ROBERT R FRICKE	D.M.D.	1346270105
DR. KENNETH S KWAN	DDS	1417977232
DR. KENNETH J. SCHWEIFLER	D.D.S.	1609961614

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.