OrganizationActive
Daniel Petersen DDS, Inc.
NPI 1649677915 · Oral & Maxillofacial Surgery (D.M.D.) · Redding, CA
Provider details
- NPI number
- 1649677915
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Petersen, Owner(530) 223-1811
- License
- 57031 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
316 Knollcrest Dr
Redding, CA 96002-0104
Phone: (530) 223-1811
Fax: (530) 223-1813
Approximate (ZIP-level) locationGet directions
Mailing address
316 Knollcrest Dr
Redding, CA 96002-0104
Other names (DBA / former)
- Other name
- Riverside O.s.
Registry dates
- Enumerated
- 2014-12-02
- Last updated
- 2014-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.