Individual provider · Type 1 NPI
Jonathan Michael Brown Petersen, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Roseburg, OR
Practice location
500 SE Douglas Ave
Roseburg, OR 97470-3120
Mailing address
2282 NW Calkins Ave
Roseburg, OR 97471-1800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | D10421 (OR) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
2 other providers at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Roseburg
- Robert Earl Varner, DMDOrthodontics and Dentofacial Orthopedics Dentistry Roseburg, OR NPI 1619108966
- Bruce Walter Roman, DDSOrthodontics and Dentofacial Orthopedics Dentistry Roseburg, OR NPI 1669519237
- Shawn Levi Lemert, DDSOrthodontics and Dentofacial Orthopedics Dentistry Roseburg, OR NPI 1932237070
- Surya JosephOrthodontics and Dentofacial Orthopedics Dentistry Roseburg, OR NPI 1992251391
About NPI 1821433848
Jonathan Michael Brown Petersen, DMD's National Provider Identifier is 1821433848, issued on May 3, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Roseburg, OR. The record was last updated on Jul 14, 2016.