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DR. THEODORE ALAN PETERSON D.D.S.
NPI 1972712123
Dentist - General Practice in Los Altos, CA

Active since May 22, 2007
826 ALTOS OAKS DR, SUITE 1, LOS ALTOS, CA 94024(650) 941-6557(650) 941-6559 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theodore Alan Peterson D.d.s. NPPES

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

DR. THEODORE ALAN PETERSON D.D.S. (NPI 1972712123) is an individual general practice provider in Los Altos, California, licensed in California (21281) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1972712123
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THEODORE ALAN PETERSONCredential: D.D.S.
Location Address826 ALTOS OAKS DR, SUITE 1Los Altos, CA 94024-5403
Mailing Address826 Altos Oaks Dr, Suite 1Los Altos, CA 94024-5403 · (650) 941-6557 · Fax (650) 941-6559
Phone(650) 941-6557
Fax(650) 941-6559
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972712123 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 · 21281
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.
826 ALTOS OAKS DR, Los Altos, CA 94024
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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 Theodore Peterson's NPI number?

The NPI number for Theodore Peterson is 1972712123. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Theodore Peterson located?

Theodore Peterson practices at 826 Altos Oaks Dr Suite 1, Los Altos, CA 94024. The listed phone number is (650) 941-6557.

What is Theodore Peterson'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 Theodore Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.