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

Q: 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.

Q: What is Ian Petersen'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 Ian Petersen was last updated on March 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 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: August 16, 2026.

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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

Phone(707) 579-2808

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

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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.

MRS. EDITA VASILIAUSKAS DDS

Dentist

2448 GUERNEVILLE RD
SANTA ROSA, CA 95403

Sonoma County (707) 579-2808

DR. MICHAEL G CARLSTON M.D.

Family Medicine

2448 GUERNEVILLE RD, SUITE 900
SANTA ROSA, CA 95403

Sonoma County (707) 545-1554

JEFFREY PETER FRANCESCHI MS PT

Physical Therapist

2448 GUERNEVILLE RD, SUITE 300
SANTA ROSA, CA 95403

Sonoma County (707) 573-8202

DR. JOSHUA DREW HAMMER D.M.D.

Dentist (General Practice)

2448 GUERNEVILLE RD, SUITE 700
SANTA ROSA, CA 95403

Sonoma County (707) 526-6160

JAY H CALLENDER L.AC

Acupuncturist

2448 GUERNEVILLE RD, SUITE 400
SANTA ROSA, CA 95403

Sonoma County (707) 542-4800

FRANCESCHI PHYSICAL THERAPY

Physical Therapist

2448 GUERNEVILLE RD, SUITE 300
SANTA ROSA, CA 95403

Sonoma County (707) 573-8202

DR. MIRABEL HLADKY CAYCO-TANGCO DDS

Dentist

2448 GUERNEVILLE RD, SUITE 1000
SANTA ROSA, CA 95403

Sonoma County (707) 595-3615

JAN S. RICE L.AC.

Acupuncturist

2448 GUERNEVILLE RD, SUITE 1100
SANTA ROSA, CA 95403

Sonoma County (707) 829-1092

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.