AUDREY LAUREN PETERSON D.D.S.
NPI 1194050617
Dentist - General Practice in Oakland, CA

Q: What is Audrey Peterson's NPI number?

The NPI number for Audrey Peterson is 1194050617. It was assigned to this individual provider in the NPPES registry on October 16, 2009.

Q: What is Audrey Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Audrey Peterson was last updated on October 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 16, 2009

5277 COLLEGE AVE STE 203, OAKLAND, CA 94618(510) 654-2226(510) 595-1455 Get Directions Write a Review

NPPES record last updated: October 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Audrey Lauren Peterson D.d.s. NPPES

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

AUDREY LAUREN PETERSON D.D.S. (NPI 1194050617) is an individual general practice provider in Oakland, California, licensed in California (58443) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1194050617

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameAUDREY LAUREN PETERSONCredential: D.D.S.

Location Address5277 COLLEGE AVE STE 203Oakland, CA 94618-1437

Mailing Address5277 College Ave Ste 203Oakland, CA 94618-1437 · (510) 654-2226 · Fax (510) 595-1455

Phone(510) 654-2226

Fax(510) 595-1455

Sole ProprietorNo

Enumeration DateOctober 16, 2009

✔ NPI 1194050617 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 · 58443

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.

5277 COLLEGE AVE STE 203, Oakland, CA 94618

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Other Providers at the Same Location NPPES

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

MISS CAROLINE ALSTON PETERSON D.M.D.

Dentist

5277 COLLEGE AVE STE 203
OAKLAND, CA 94618

Alameda County (510) 654-2226

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 Audrey Peterson's NPI number?

The NPI number for Audrey Peterson is 1194050617. It was assigned to this individual provider in the NPPES registry on October 16, 2009.

Where is Audrey Peterson located?

Audrey Peterson practices at 5277 College Ave Ste 203, Oakland, CA 94618. The listed phone number is (510) 654-2226.

What is Audrey Peterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Audrey Peterson was last updated on October 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.