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AUDREY LAUREN PETERSON D.D.S. NPI 1194050617


NPI Information

NPI: 1194050617
Provider Name: AUDREY LAUREN PETERSON, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
5277 COLLEGE AVE STE 203
OAKLAND, CA
ZIP 94618
Phone: (510) 654-2226
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Audrey Lauren Peterson, D.D.S. is a general practice dentist in Oakland, 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. Audrey Lauren Peterson, D.D.S. NPI is 1194050617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5277 COLLEGE AVE STE 203
OAKLAND, CA
ZIP 94618-437
Phone: (510) 654-2226
Fax: (510) 595-1455

The enumeration date for this NPI number is 10/16/2009 and was last updated on 10/16/2009.


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 Practice58443CALIFORNIAYes

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: 11/14/2023

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.