JORDAN PETERSEN RDH
NPI 1386295160
Dental Hygienist in Santa Rosa, CA

Q: What is the provider's specialty?

The provider's specialty is Dental Hygienist with taxonomy code 124Q00000X.

Active since September 24, 2019

1300 N DUTTON AVE, SANTA ROSA, CA 95401(707) 303-3395 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 3, 2022, Sep 24, 2019 (2 updates tracked since 2019).

Table of Contents

NPI Profile Information
Primary Taxonomy
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Dental Hygienist

About JORDAN PETERSEN

This page provides the complete NPI Profile along with additional information for Jordan Petersen, a provider established in Santa Rosa, California with a medical specialization in Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1386295160 assigned on September 2019. The practitioner's primary taxonomy code is 124Q00000X with license number RDH32940 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI: 1386295160 Verify this NPI
Provider Name: JORDAN PETERSEN RDH
Gender: Female
Entity Type: Individual
Location Address: 1300 N DUTTON AVE SANTA ROSA, CA 95401
Location Phone: (707) 303-3395
Mailing Address: 1300 N DUTTON AVE SANTA ROSA, CA 95401
Mailing Phone: (415) 246-8524
Is Sole Proprietor?: No
Enumeration Date: 09-24-2019
Last Update Date: 02-03-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dental Hygienist
Taxonomy Code: 124Q00000X
Type: Dental Providers
License No.: RDH32940
License State: CA
Taxonomy Description: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.