PETERSON CENTER FOR DENTISTRY
NPI 1679604169
Dentist - General Practice in Camarillo, CA

Active since March 08, 2007
400 W VENTURA BLVD #165, CAMARILLO, CA 93010(805) 482-1558(805) 484-8240 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peterson Center For Dentistry NPPES

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

PETERSON CENTER FOR DENTISTRY (NPI 1679604169) is a healthcare organization registered as a general practice in Camarillo, California and active in the NPI registry since March 2007. The organization lists Paul Aaron Peterson, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1679604169
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePAUL A PETERSON DDS INC
Location Address400 W VENTURA BLVD #165Camarillo, CA 93010
Mailing Address400 W Ventura Blvd #165Camarillo, CA 93010 · (805) 482-1558 · Fax (805) 484-8240
Fax(805) 484-8240
Organization SubpartNo
Authorized OfficialPaul Aaron PetersonOwner/president · (805) 482-1558
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 13, 2013
NPI 1679604169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 52913
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
400 W VENTURA BLVD #165, Camarillo, CA 93010

Other Names 1

Doing Business AsPeterson Center For Dentistry

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Paul A Peterson Dds Inc's NPI number?

The NPI number for Paul A Peterson Dds Inc is 1679604169. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Peterson Center For Dentistry.

Where is Paul A Peterson Dds Inc located?

Paul A Peterson Dds Inc is located at 400 W Ventura Blvd #165, Camarillo, CA 93010. The listed phone number is (805) 482-1558.

What is Paul A Peterson Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Paul A Peterson Dds Inc was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.