OrganizationActive
Petersen Dental Care
NPI 1366256125 · Dental Clinic/Center · Santa Rosa, CA
Petersen Dental Care is a Dental Clinic/Center organization in Santa Rosa, CA (NPI 1366256125).
Provider details
- NPI number
- 1366256125
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Petersen, Co-Owner/Dmd(707) 477-6610
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
2448 Guerneville Rd Ste 200
Santa Rosa, CA 95403-7223
Phone: (707) 579-2808
Street-level locationGet directions
Mailing address
2577 Greenvale Ln
Santa Rosa, CA 95401-4041
Registry dates
- Enumerated
- 2025-02-03
- Last updated
- 2025-02-03
- Certified
- 2025-02-03
Frequently asked questions
- What is Petersen Dental Care's NPI number?
- Petersen Dental Care's National Provider Identifier (NPI) is 1366256125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petersen Dental Care?
- Petersen Dental Care is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Petersen Dental Care located?
- Petersen Dental Care's practice location on file with NPPES is 2448 Guerneville Rd Ste 200, Santa Rosa, CA 95403-7223.
- What is Petersen Dental Care's phone number?
- The practice phone number listed in the NPPES registry for Petersen Dental Care is (707) 579-2808.
- Who is the authorized official for Petersen Dental Care?
- The authorized official listed on Petersen Dental Care's NPPES record is Susan Petersen, Co-Owner/Dmd. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petersen Dental Care's NPI active?
- Yes — Petersen Dental Care's NPI (1366256125) is active in the NPPES registry as of the last update on 2025-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.