JAKE ALLEN PETERSON DDS MD NPI 1043657364

NPI Information

Jake Allen Peterson, DDS, MD is an oral and maxillofacial surgery dentist in Bend, OR. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Jake Allen Peterson, DDS, MD NPI is 1043657364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1475 SW CHANDLER AVE STE 101
BEND, OR
ZIP 97702-239
Phone: (541) 617-3993

The enumeration date for this NPI number is 5/28/2013 and was last updated on 3/1/2022.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.