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

Jeromy A Peterson, DDSPS

Individual provider General Practice Dentistry · NPI 1093817686

Jeromy A Peterson, DDSPS is a General Practice Dentistry in Poulsbo, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

19301 8th Ave NE
Poulsbo, WA 98370
Phone: (360) 779-3958
Fax: (360) 779-3033
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19170 8th Ave Ne, Poulsbo, WA 98370-8773 — (360) 779-3958

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE00008169 (WA)

Record details

NPI number1093817686
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSPS
Sole proprietorYes
NPI enumeratedSeptember 2, 2006
Last updated in NPPESMay 30, 2018

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