1. Home
  2. Directory
  3. California
  4. San Diego
  5. Dentist
  6. NPI Profile

JON E PETERSON D.D.S. , APC
NPI 1386736445
Dentist - Periodontics in San Diego, CA

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

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jon E Peterson D.d.s. , Apc NPPES

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

JON E PETERSON D.D.S. , APC (NPI 1386736445) is a healthcare organization registered as a periodontics in San Diego, California and active in the NPI registry since September 2006. The organization lists Jon E Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1386736445
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameJON E PETERSON D.D.S. , APC
Location Address4076 3RD AVE STE 201San Diego, CA 92103-2129
Mailing Address4076 3rd Ave Ste 201San Diego, CA 92103-2129 · (619) 298-2322
Phone(619) 298-2322
Organization SubpartNo
Authorized OfficialJon E PetersonPresident · (619) 298-2322
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 16, 2013
✔ NPI 1386736445 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 STE 201, San Diego, CA 92103
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CARSON THEODORE HUNT DDS
Dentist (Periodontics)
4076 3RD AVE STE 201
SAN DIEGO, CA 92103
San Diego County (619) 298-2322

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 E Peterson D.D.S. , Apc's NPI number?

The NPI number for Jon E Peterson D.D.S. , Apc is 1386736445. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Jon E Peterson D.D.S. , Apc located?

Jon E Peterson D.D.S. , Apc is located at 4076 3rd Ave Ste 201, San Diego, CA 92103. The listed phone number is (619) 298-2322.

What is Jon E Peterson D.D.S. , Apc'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 E Peterson D.D.S. , Apc was last updated on July 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.