Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Daniel W Petersen, DDS

Individual provider Dentist · NPI 1497817191

Dr. Daniel W Petersen, DDS is a Dentist in Redding, California. Practices as a sole proprietor. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

316 Knollcrest Dr
Redding, CA 96002-0104
Phone: (530) 223-1811
Fax: (530) 223-1813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 57031 (CA)
Dentist Taxonomy 122300000X · Licence 050824 (NY)

Record details

NPI number1497817191
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 16, 2006
Last updated in NPPESDecember 5, 2014

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