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PAUL A PETERSON DDS INC NPI 1679604169


NPI Information

NPI: 1679604169
Provider Name: PAUL A PETERSON DDS INC

Doing Business As: PETERSON CENTER FOR DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
400 W VENTURA BLVD #165
CAMARILLO, CA
ZIP 93010
Phone: (805) 482-1558
Get Directions

PAUL A PETERSON DDS INC is a general practice dentist in Camarillo, CA. The provider is 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. PAUL A PETERSON DDS INC NPI is 1679604169. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Peterson Center For Dentistry.

The provider's business location address is:

400 W VENTURA BLVD #165
CAMARILLO, CA
ZIP 93010
Phone: (805) 482-1558
Fax: (805) 484-8240

The provider's authorized official is Paul Aaron Peterson .
The authorized official title is Owner/president and has the following contact phone number (805) 482-1558.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeCALIFORNIANo
21223G0001XDentistGeneral Practice52913CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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