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DR. BRUCE MICHAEL PETERSON DDS
NPI 1063531481
Dentist - General Practice in San Jacinto, CA

Active since March 28, 2007
607 DONNA WAY, SAN JACINTO, CA 92583(951) 654-0803 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bruce Michael Peterson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE MICHAEL PETERSON DDS (NPI 1063531481) is an individual general practice provider in San Jacinto, California, licensed in California (28064) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063531481
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRUCE MICHAEL PETERSONCredential: DDS
Location Address607 DONNA WAYSan Jacinto, CA 92583-5517
Mailing AddressPo Box 1189Alhambra, CA 91802-1189 · (760) 668-0191
Phone(951) 654-0803
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063531481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 28064
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
607 DONNA WAY, San Jacinto, CA 92583
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBORA SHALEEN POTALIVO DC
Chiropractor
607 DONNA WAY
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
MR. VERNON ARNOLD MOTSCHMAN CADCII
Counselor (Addiction (Substance Use Disorder))
607 DONNA WAY
SAN JACINTO, CA 92583
Riverside County (951) 487-9627
DR. ELIZABETH CLAIRE LAURON D.D.S.
Dentist (General Practice)
607 DONNA WAY
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
ANTHONY MAZZA
Dietitian, Registered
607 DONNA WAY
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
MS. ROSAN ERICKSEN CADC II
Counselor (Addiction (Substance Use Disorder))
607 DONNA WAY
SAN JACINTO, CA 92583
Riverside County (951) 487-9627
MS. KARRE ROSE WINGE LMFT, CADCII
Marriage & Family Therapist
607 DONNA WAY
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
LINDSAY KOH R.D.
Dietitian, Registered
607 DONNA WAY
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
MS. MARY MADRIGAL SANDOVAL RN, PHN, FNP
Nurse Practitioner (Family)
607 DONNA WAY
SAN JACINTO, CA 92583
Riverside County (951) 654-0803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Peterson's NPI number?

The NPI number for Bruce Peterson is 1063531481. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Bruce Peterson located?

Bruce Peterson practices at 607 Donna Way, San Jacinto, CA 92583. The listed phone number is (951) 654-0803.

What is Bruce Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Bruce Peterson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Bruce Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruce Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.