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PETERSON DENTAL PC
NPI 1114477692
Specialist in Oceanside, NY

Active since October 10, 2016
2983 LONG BEACH RD, OCEANSIDE, NY 11572(516) 536-5777 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2020, Oct 10, 2016 (2 updates tracked since 2016).

About Peterson Dental Pc NPPES

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

PETERSON DENTAL PC (NPI 1114477692) is a healthcare organization registered as a specialist in Oceanside, New York and active in the NPI registry since October 2016. The organization lists John Peterson, Officer, as its authorized official.

NPPES Registry Identity

NPI1114477692
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePETERSON DENTAL PC
Location Address2983 LONG BEACH RDOceanside, NY 11572-3204
Mailing Address2983 Long Beach RdOceanside, NY 11572-3204 · (516) 536-5777 · Fax (516) 536-5919
Phone(516) 536-5777
Organization SubpartNo
Authorized OfficialJohn PetersonOfficer · (516) 536-3577
Enumeration DateOctober 10, 2016
Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1114477692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2983 LONG BEACH RD, Oceanside, NY 11572
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Other Providers at the Same Location NPPES 4

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

ELITE CARE MEDICAL SUPPLY
Durable Medical Equipment & Medical Supplies
2983 LONG BEACH RD
OCEANSIDE, NY 11572
Nassau County (631) 374-3410
ADVANCED DENTAL TECHNOLOGIES COR
Dentist (General Practice)
2983 LONG BEACH RD
OCEANSIDE, NY 11572
Nassau County (516) 536-5777
LONG ISLAND MEDICAL OFFICE PC
Family Medicine
2983 LONG BEACH RD
OCEANSIDE, NY 11572
Nassau County (516) 515-9468
JOHN CONRAD PETERSON D.D.S.
Dentist (General Practice)
2983 LONG BEACH RD
OCEANSIDE, NY 11572
Nassau County (516) 536-5777

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 Peterson Dental PC's NPI number?

The NPI number for Peterson Dental PC is 1114477692. It was assigned to this organization in the NPPES registry on October 10, 2016.

Where is Peterson Dental PC located?

Peterson Dental PC is located at 2983 Long Beach Rd, Oceanside, NY 11572. The listed phone number is (516) 536-5777.

What is Peterson Dental PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peterson Dental PC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.