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PETERSON AND ABE
NPI 1942604277
Dentist - Periodontics in San Diego, CA

Active since October 15, 2014
4076 3RD AVE, SUITE 201, SAN DIEGO, CA 92103(619) 292-2322(619) 298-0679 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peterson And Abe NPPES

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

PETERSON AND ABE (NPI 1942604277) is a healthcare organization registered as a periodontics in San Diego, California and active in the NPI registry since October 2014. The organization lists Jon Peterson, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1942604277
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePETERSON AND ABE
Location Address4076 3RD AVE, SUITE 201San Diego, CA 92103-2129
Mailing Address4076 3rd Ave, Suite 201San Diego, CA 92103-2129 · (619) 292-2322 · Fax (619) 298-0679
Phone(619) 292-2322
Fax(619) 298-0679
Organization SubpartNo
Authorized OfficialJon PetersonPeriodontist · (619) 298-2322
Enumeration DateOctober 15, 2014
✔ NPI 1942604277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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, San Diego, CA 92103
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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.

JOSEPH DANIEL MORA
Case Manager/Care Coordinator
4076 3RD AVE, SUITE 301
SAN DIEGO, CA 92103
San Diego County (858) 534-2955
DR. CHRISTOPHER PETERSON DMD
Dentist (Periodontics)
4076 3RD AVE, SUITE 201
SAN DIEGO, CA 92103
San Diego County (619) 298-2322
MISS MARIA LUISA HUERTA LCSW
Social Worker (Clinical)
4076 3RD AVE
SAN DIEGO, CA 92103
San Diego County (858) 776-8485

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 And Abe's NPI number?

The NPI number for Peterson And Abe is 1942604277. It was assigned to this organization in the NPPES registry on October 15, 2014.

Where is Peterson And Abe located?

Peterson And Abe is located at 4076 3rd Ave Suite 201, San Diego, CA 92103. The listed phone number is (619) 292-2322.

What is Peterson And Abe'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 Peterson And Abe was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.