Organization · Type 2 NPI

Jerome N. Peterson D.d.s. Inc.

Point of Service · Santa Ana, CA

NPI number 1437324555 Active

Practice location

3620 S Bristol St, #302
Santa Ana, CA 92704-7300

Fax (714) 557-1881

Mailing address

3620 South Bristol St, #302
Santa Ana, CA 92704-9262

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X23551 (CA)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1437324555

Jerome N. Peterson D.d.s. Inc.'s National Provider Identifier is 1437324555, issued on Apr 29, 2008. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Santa Ana, CA. The record was last updated on Apr 29, 2008.