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AYLEEN R. PETERSON DDS, INC.
NPI 1225509268
Dentist - Oral and Maxillofacial Surgery in Sherman Oaks, CA

Active since December 17, 2018
4221 SUNNYSLOPE AVE, SHERMAN OAKS, CA 91423(310) 710-7854 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2019, Dec 17, 2018 (2 updates tracked since 2018).

About Ayleen R. Peterson Dds, Inc. NPPES

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

AYLEEN R. PETERSON DDS, INC. (NPI 1225509268) is a healthcare organization registered as an oral and maxillofacial surgery in Sherman Oaks, California and active in the NPI registry since December 2018. The organization maintains 3 additional practice locations and lists Ayleen Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1225509268
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameAYLEEN R. PETERSON DDS, INC.
Location Address4221 SUNNYSLOPE AVESherman Oaks, CA 91423-3803
Mailing Address4221 Sunnyslope AveSherman Oaks, CA 91423-3803 · (310) 710-7854
Phone(310) 710-7854
Organization SubpartNo
Authorized OfficialAyleen PetersonPresident · (310) 710-7854
Enumeration DateDecember 17, 2018
Last NPPES UpdateDecember 12, 20192 updates tracked since enumeration
✔ NPI 1225509268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4221 SUNNYSLOPE AVE, Sherman Oaks, CA 91423
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Secondary Practice Locations 3

Location 11050 Lakes Dr Ste 100West Covina, CA 91790-2929 · Phone (310) 710-7854
Location 210833 Le Conte AveLos Angeles, CA 90095-3803 · Phone (310) 710-7854
Location 316661 Ventura BlvdEncino, CA 91436-1914 · Phone (310) 710-7854

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Ayleen R. Peterson Dds, Inc.'s NPI number?

The NPI number for Ayleen R. Peterson Dds, Inc. is 1225509268. It was assigned to this organization in the NPPES registry on December 17, 2018.

Where is Ayleen R. Peterson Dds, Inc. located?

Ayleen R. Peterson Dds, Inc. is located at 4221 Sunnyslope Ave, Sherman Oaks, CA 91423. The listed phone number is (310) 710-7854.

What is Ayleen R. Peterson Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Ayleen R. Peterson Dds, Inc. was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.