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PETERSON DENTISTRY DDS INC
NPI 1639661341
Dentist - Oral and Maxillofacial Surgery in Brea, CA

Active since May 30, 2018
503 E IMPERIAL HWY, BREA, CA 92821(714) 672-9000(714) 672-9086 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peterson Dentistry Dds Inc NPPES

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

PETERSON DENTISTRY DDS INC (NPI 1639661341) is a healthcare organization registered as an oral and maxillofacial surgery in Brea, California and active in the NPI registry since May 2018. The organization lists Gregory Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1639661341
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePETERSON DENTISTRY DDS INC
Location Address503 E IMPERIAL HWYBrea, CA 92821-5544
Mailing Address503 E Imperial HwyBrea, CA 92821-5544 · (714) 672-9000 · Fax (714) 672-9086
Phone(714) 672-9000
Fax(714) 672-9086
Organization SubpartNo
Authorized OfficialGregory PetersonOwner · (714) 672-9000
Enumeration DateMay 30, 2018
✔ NPI 1639661341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 57102
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
503 E IMPERIAL HWY, Brea, CA 92821
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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 3

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

DR. JOHN C WHITWORTH DDS
Dentist (General Practice)
503 E IMPERIAL HWY
BREA, CA 92821
Orange County (714) 672-9000
DR. GREGORY PETERSON D.D.S.
Dentist
503 E IMPERIAL HWY
BREA, CA 92821
Orange County (310) 266-5944
WHITWORTH DENTAL CORPORATION
Dentist (General Practice)
503 E IMPERIAL HWY
BREA, CA 92821
Orange County (714) 672-9000

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 Peterson Dentistry Dds Inc's NPI number?

The NPI number for Peterson Dentistry Dds Inc is 1639661341. It was assigned to this organization in the NPPES registry on May 30, 2018.

Where is Peterson Dentistry Dds Inc located?

Peterson Dentistry Dds Inc is located at 503 E Imperial Hwy, Brea, CA 92821. The listed phone number is (714) 672-9000.

What is Peterson Dentistry Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Peterson Dentistry Dds Inc was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.