Individual provider · Type 1 NPI

Daniel W. Petersen, DDS

Oral and Maxillofacial Surgery (Dentist) · Redding, CA

NPI number 1497817191 Active

Practice location

316 Knollcrest Dr
Redding, CA 96002-0104

Call (530) 223-1811 Map

Fax (530) 223-1813

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X050824 (NY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X57031 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1497817191

Daniel W. Petersen, DDS's National Provider Identifier is 1497817191, issued on Dec 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Redding, CA. The record was last updated on Dec 5, 2014.