DR. IAN PETERSEN D.M.D.
NPI 1225569916
Dentist in Santa Rosa, CA

Active since March 23, 2017
2448 GUERNEVILLE RD, SUITE 200, SANTA ROSA, CA 95403(707) 579-2808 Get Directions Write a Review

NPPES record last updated: March 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ian Petersen D.m.d. NPPES

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

DR. IAN PETERSEN D.M.D. (NPI 1225569916) is an individual dentist in Santa Rosa, California, licensed in California (101238) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1225569916
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. IAN PETERSENCredential: D.M.D.
Location Address2448 GUERNEVILLE RD, SUITE 200Santa Rosa, CA 95403-4175
Mailing Address2577 Greenvale LnSanta Rosa, CA 95401-4041 · (707) 477-6612
Sole ProprietorNo
Enumeration DateMarch 23, 2017
Last NPPES UpdateMarch 25, 2017
NPI 1225569916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 101238
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.

2448 GUERNEVILLE RD, Santa Rosa, CA 95403

Other Providers at the Same Location NPPES 17

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

Internal Medicine
2448 GUERNEVILLE RD, SUITE #400
SANTA ROSA, CA 95403
Dentist
2448 GUERNEVILLE RD, SUITE 1000
SANTA ROSA, CA 95403
Internal Medicine
2448 GUERNEVILLE RD, STE. 800
SANTA ROSA, CA 95403
Acupuncturist
2448 GUERNEVILLE RD, SUITE 400
SANTA ROSA, CA 95403
Acupuncturist
2448 GUERNEVILLE RD, SUITE 1100
SANTA ROSA, CA 95403
Dentist
2448 GUERNEVILLE RD, SUITE 1200
SANTA ROSA, CA 95403
Dentist (General Practice)
2448 GUERNEVILLE RD, SUITE 700
SANTA ROSA, CA 95403
Physical Therapist
2448 GUERNEVILLE RD, SUITE 300
SANTA ROSA, CA 95403

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 Ian Petersen's NPI number?

The NPI number for Ian Petersen is 1225569916. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Ian Petersen located?

Ian Petersen practices at 2448 Guerneville Rd Suite 200, Santa Rosa, CA 95403. The listed phone number is (707) 579-2808.

What is Ian Petersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Ian Petersen was last updated on March 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.