DR. PETER STEVEN TOMMERUP D.D.S.
NPI 1225191018
Dentist in Cave Junction, OR

Q: What is Peter Tommerup's NPI number?

The NPI number for Peter Tommerup is 1225191018. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Peter Tommerup's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Tommerup was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 19, 2006

25647 REDWOOD HWY, CAVE JUNCTION, OR 97523(541) 592-4111(541) 471-1439 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2026, Apr 18, 2024, Aug 28, 2019 (3 updates tracked since 2019).

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About Dr. Peter Steven Tommerup D.d.s. NPPES

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

DR. PETER STEVEN TOMMERUP D.D.S. (NPI 1225191018) is an individual dentist in Cave Junction, Oregon, licensed in Oregon (D8586) and active in the NPI registry since December 2006. He maintains a secondary practice location in Grants Pass.

NPPES Registry Identity

NPI1225191018

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. PETER STEVEN TOMMERUPCredential: D.D.S.

Location Address25647 REDWOOD HWYCave Junction, OR 97523-9332

Mailing Address1701 Nw Hawthorne AveGrants Pass, OR 97526-1051 · (541) 479-6393 · Fax (541) 471-1439

Phone(541) 592-4111

Fax(541) 471-1439

Sole ProprietorNo

Enumeration DateDecember 19, 2006

Last NPPES UpdateApril 29, 20263 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1225191018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D8586

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

25647 REDWOOD HWY, Cave Junction, OR 97523

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Secondary Practice Location 1

Location 11701 NW Hawthorne AveGrants Pass, OR 97526-1051 · Phone (541) 479-6393 · Fax (541) 471-1439

Other Identifiers 1

Medicaid026459OR

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 19

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

NICHOLE STEWARD MSN, FNP-C

Nurse Practitioner (Family)