DR. THEODORE ALAN PETERSON D.D.S. NPI 1972712123

NPI Information

  • NPI: 1972712123
  • Provider Name: DR. THEODORE ALAN PETERSON, D.D.S.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 826 ALTOS OAKS DR
    SUITE 1
    LOS ALTOS, CA
    ZIP 94024
  • Phone: (650) 941-6557

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NPI Details

DR. Theodore Alan Peterson, D.D.S. is a general practice dentist in Los Altos, 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. DR. Theodore Alan Peterson, D.D.S. NPI is 1972712123. 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:

826 ALTOS OAKS DR
SUITE 1
LOS ALTOS, CA
ZIP 94024-403
Phone: (650) 941-6557
Fax: (650) 941-6559

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice21281CALIFORNIAYes

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: 11/21/2025

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