RIVERSIDE O.S.
NPI 1649677915
Oral & Maxillofacial Surgery in Redding, CA

Q: What is Daniel Petersen Dds, Inc.'s NPI number?

The NPI number for Daniel Petersen Dds, Inc. is 1649677915. It was assigned to this organization in the NPPES registry on December 2, 2014. The provider is also known as Riverside O.S..

Q: What is Daniel Petersen Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since December 02, 2014

316 KNOLLCREST DR, REDDING, CA 96002(530) 223-1811(530) 223-1813 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Riverside O.s. NPPES

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

RIVERSIDE O.S. (NPI 1649677915) is a healthcare organization registered as an oral & maxillofacial surgery in Redding, California and active in the NPI registry since December 2014. The organization lists Daniel W Petersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1649677915

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameDANIEL PETERSEN DDS, INC.

Location Address316 KNOLLCREST DRRedding, CA 96002-0104

Mailing Address316 Knollcrest DrRedding, CA 96002-0104 · (530) 223-1811 · Fax (530) 223-1813

Phone(530) 223-1811

Fax(530) 223-1813

Organization SubpartNo

Authorized OfficialDaniel W PetersenOwner · (530) 223-1811

Enumeration DateDecember 2, 2014

✔ NPI 1649677915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in CA · 57031

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

316 KNOLLCREST DR, Redding, CA 96002

Open in Google Maps ↗

Other Names 1

Other NameRiverside O.s.

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 5

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

INGERSOLL KNOLLCREST OS DENTAL CORPORATION

Dentist (Oral and Maxillofacial Surgery)