IndividualActive
Bruce Peterson, DDS
NPI 1063531481 · General Practice Dentistry · San Jacinto, CA
Bruce Peterson, DDS is a General Practice Dentistry provider in San Jacinto, CA (NPI 1063531481).
Provider details
- NPI number
- 1063531481
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 28064 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
607 Donna Way
San Jacinto, CA 92583-5517
Phone: (951) 654-0803
Street-level locationGet directions
Mailing address
Po Box 1189
Alhambra, CA 91802-1189
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Bruce Peterson's NPI number?
- Bruce Peterson's National Provider Identifier (NPI) is 1063531481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bruce Peterson's specialty?
- Bruce Peterson is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Bruce Peterson located?
- Bruce Peterson's practice location on file with NPPES is 607 Donna Way, San Jacinto, CA 92583-5517.
- What is Bruce Peterson's phone number?
- The practice phone number listed in the NPPES registry for Bruce Peterson is (951) 654-0803.
- Is Bruce Peterson's NPI active?
- Yes — Bruce Peterson's NPI (1063531481) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.