Individual provider · Type 1 NPI

Susan Petersen, DMD

General Practice Dentistry · Santa Rosa, CA

NPI number 1912984352 Active

Practice location

2448 Guerneville Rd, Ste 200
Santa Rosa, CA 95403-4175

Fax (707) 579-2877

Mailing address

91 Hop Ranch Rd
Santa Rosa, CA 95403-7528

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X35667 (CA)

General Practice Dentistry: 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.

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About NPI 1912984352

Susan Petersen, DMD's National Provider Identifier is 1912984352, issued on Dec 28, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 13, 2026.