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

Jonathan Michael Brown Petersen, DMD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1821433848

Jonathan Michael Brown Petersen, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

500 SE Douglas Ave
Roseburg, OR 97470-3120
Phone: (541) 672-5721
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence D10421 (OR)

Record details

NPI number1821433848
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 3, 2013
Last updated in NPPESJuly 14, 2016

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