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PETERSEN DENTAL CARE
NPI 1366256125
Clinic/Center - Dental in Santa Rosa, CA

Active since February 03, 2025
2448 GUERNEVILLE RD STE 200, SANTA ROSA, CA 95403(707) 579-2808 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petersen Dental Care NPPES

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

PETERSEN DENTAL CARE (NPI 1366256125) is a healthcare organization registered as a dental in Santa Rosa, California and active in the NPI registry since February 2025. The organization lists Susan Petersen, Co-owner/dmd, as its authorized official.

NPPES Registry Identity

NPI1366256125
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePETERSEN DENTAL CARE
Location Address2448 GUERNEVILLE RD STE 200Santa Rosa, CA 95403-7223
Mailing Address2577 Greenvale LnSanta Rosa, CA 95401-4041 · (707) 477-6610
Phone(707) 579-2808
Organization SubpartNo
Authorized OfficialSusan PetersenCo-owner/dmd · (707) 477-6610
Enumeration DateFebruary 3, 2025
NPPES CertifiedFebruary 3, 2025
✔ NPI 1366256125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2448 GUERNEVILLE RD STE 200, Santa Rosa, CA 95403
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Other Providers at the Same Location NPPES 2

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

DR. ANKITA KAKAR DDS
Dentist
2448 GUERNEVILLE RD STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 579-2808
ETHAN COOK DDS
Dentist (General Practice)
2448 GUERNEVILLE RD STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 579-2808

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 Petersen Dental Care's NPI number?

The NPI number for Petersen Dental Care is 1366256125. It was assigned to this organization in the NPPES registry on February 3, 2025.

Where is Petersen Dental Care located?

Petersen Dental Care is located at 2448 Guerneville Rd Ste 200, Santa Rosa, CA 95403. The listed phone number is (707) 579-2808.

What is Petersen Dental Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Petersen Dental Care was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.