Peterson Dentistry DDS Inc
NPI 1639661341ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Brea, CA
Dentist, Oral and Maxillofacial Surgery in Brea, California, registered in NPPES in May 2018. The authorized official on file is Gregory Peterson, DDS, Owner.
Overview
| NPI | 1639661341 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2018 |
| Last updated in NPPES | May 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | 57102 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, Oral and Maxillofacial Surgery providers in Brea
- 1982643110
- 1528485901
All Dentist, Oral and Maxillofacial Surgery providers in California →