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

Q: What is Jordan Petersen's NPI number?

The NPI number for Jordan Petersen is 1386295160. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Q: What is Jordan Petersen's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Petersen was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 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: August 09, 2026.

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

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About Jordan Petersen Rdh NPPES

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

JORDAN PETERSEN RDH (NPI 1386295160) is an individual dental hygienist in Santa Rosa, California, licensed in California (RDH32940) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1386295160

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameJORDAN PETERSENCredential: RDH

Location Address1300 N DUTTON AVESanta Rosa, CA 95401-7112

Mailing Address1300 N Dutton AveSanta Rosa, CA 95401-7112 · (415) 246-8524

Phone(707) 303-3395

Sole ProprietorNo

Enumeration DateSeptember 24, 2019

Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1386295160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in CA · RDH32940

Definition

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.

1300 N DUTTON AVE, Santa Rosa, CA 95401

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