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JON E PETERSON DDS
NPI 1285726380
Dentist - Periodontics in San Diego, CA

Active since September 28, 2006
4076 3RD AVE # SU.201, SAN DIEGO, CA 92103(619) 298-2322 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jon E Peterson Dds NPPES

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

JON E PETERSON DDS (NPI 1285726380) is an individual periodontics provider in San Diego, California, licensed in California (28790) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1285726380
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameJON E PETERSONCredential: DDS
Location Address4076 3RD AVE # SU.201San Diego, CA 92103-2129
Mailing Address4076 3rd Ave # Su.201San Diego, CA 92103-2129 · (619) 298-2322
Phone(619) 298-2322
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285726380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 28790
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4076 3RD AVE # SU.201, San Diego, CA 92103
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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 Jon Peterson's NPI number?

The NPI number for Jon Peterson is 1285726380. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Jon Peterson located?

Jon Peterson practices at 4076 3rd Ave # Su.201, San Diego, CA 92103. The listed phone number is (619) 298-2322.

What is Jon Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jon Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.