IndividualActive
Jeffrey Petersen, DMD
NPI 1669454211 · General Practice Dentistry · Santa Rosa, CA
Jeffrey Petersen, DMD is a General Practice Dentistry provider in Santa Rosa, CA (NPI 1669454211).
Provider details
- NPI number
- 1669454211
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- License
- 36313 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2448 Guerneville Rd
Santa Rosa, CA 95403-4175
Phone: (707) 579-2808
Fax: (707) 579-2877
Street-level locationGet directions
Mailing address
91 Hop Ranch Rd
Santa Rosa, CA 95403-7528
Registry dates
- Enumerated
- 2005-11-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jeffrey Petersen's NPI number?
- Jeffrey Petersen's National Provider Identifier (NPI) is 1669454211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Petersen's specialty?
- Jeffrey Petersen is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jeffrey Petersen located?
- Jeffrey Petersen's practice location on file with NPPES is 2448 Guerneville Rd, Santa Rosa, CA 95403-4175.
- What is Jeffrey Petersen's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Petersen is (707) 579-2808.
- Is Jeffrey Petersen's NPI active?
- Yes — Jeffrey Petersen's NPI (1669454211) 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.