Individual provider · Type 1 NPI

Jordan Petersen, RDH

Dental Hygienist · Santa Rosa, CA

NPI number 1386295160 Active

Practice location

1300 N Dutton Ave
Santa Rosa, CA 95401-7112

Call (707) 303-3395 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XRDH32940 (CA)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1386295160

Jordan Petersen, RDH's National Provider Identifier is 1386295160, issued on Sep 24, 2019. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 3, 2022.