National Provider Identifier Database

JEROMY A PETERSON, DDS PS – NPI #1093817686
General Practice

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.


Contact Information

JEROMY A PETERSON, DDS PS
19301 8TH AVE NE
POULSBO, WA98370
Phone: 360-779-3958
Fax: 360-779-3033
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for JEROMY A PETERSON

NPI Number 1093817686
Credentials DDS PS
Entity Individual
Enumeration date 09/02/2006
Last updated 05/30/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • WA License #: DE00008169
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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