person
Jake Allen Peterson, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Bend, Oregon
NPI 1043657364

Jake Allen Peterson is a Oral and Maxillofacial Surgery (Dentist) based in Bend, OR and is specialized in Oral and Maxillofacial Surgery. Jake Allen Peterson practices in Bend, OR and has the professional credentials of DDS,MD. The NPI Number for Jake Allen Peterson is 1043657364 and holds a License No. M-15171 (Oregon).

The current practice location address for Jake Allen Peterson is 1475 Sw Chandler Ave Ste 101, Bend, OR and can be reached out via phone at 541-617-3993.

Location: 1475 Sw Chandler Ave Ste 101, Bend, OR, 97702-3239
person
Provider Profile Details
NPI Number
1043657364
Provider Name
Jake Allen Peterson
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
1475 Sw Chandler Ave Ste 101, Bend, OR, 97702-3239
Phone Number
541-617-3993
Fax Number
Provider Enumeration Date
05/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1475 Sw Chandler Ave Ste 101
City
State
Zip
97702-3239
Phone Number
541-617-3993
Fax Number
person
Provider Business Mailing Address Details
Address
1475 Sw Chandler Ave Ste 101
City
State
Zip
97702-3239
Phone Number
541-617-3993
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
M-15171 (Idaho)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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