1. Home
  2. Directory
  3. Washington
  4. Poulsbo
  5. Dentist
  6. NPI Profile

JEROMY A PETERSON DDS PS
NPI 1093817686
Dentist - General Practice in Poulsbo, WA

Active since September 02, 2006
19301 8TH AVE NE, POULSBO, WA 98370(360) 779-3958(360) 779-3033 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeromy A Peterson Dds Ps NPPES

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

JEROMY A PETERSON DDS PS (NPI 1093817686) is an individual general practice provider in Poulsbo, Washington, licensed in Washington (DE00008169) and active in the NPI registry since September 2006. He maintains a secondary practice location in Poulsbo.

NPPES Registry Identity

NPI1093817686
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJEROMY A PETERSONCredential: DDS PS
Location Address19301 8TH AVE NEPoulsbo, WA 98370
Mailing Address19301 8th Ave NePoulsbo, WA 98370-6200 · (360) 779-3958 · Fax (360) 779-3033
Phone(360) 779-3958
Fax(360) 779-3033
Sole ProprietorYes
Enumeration DateSeptember 2, 2006
Last NPPES UpdateMay 30, 2018
✔ NPI 1093817686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00008169
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.
19301 8TH AVE NE, Poulsbo, WA 98370
Open in Google Maps ↗

Secondary Practice Location 1

Location 119170 8th Ave NEPoulsbo, WA 98370-8773 · Phone (360) 779-3958 · Fax (360) 779-3033

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

DR. RANDAL SCOTT PUHN DDS
Dentist (General Practice)
19301 8TH AVE NE, SUITE A
POULSBO, WA 98370
Kitsap County (360) 779-9090
R.S. PUHN, D.D.S., P.L.L.C.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
19301 8TH AVE NE, SUITE A
POULSBO, WA 98370
Kitsap County (360) 779-9090

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 Jeromy Peterson's NPI number?

The NPI number for Jeromy Peterson is 1093817686. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Jeromy Peterson located?

Jeromy Peterson practices at 19301 8th Ave NE, Poulsbo, WA 98370. The listed phone number is (360) 779-3958.

What is Jeromy Peterson's specialty?

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

What insurance does Jeromy Peterson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Jeromy 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 Jeromy Peterson was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.