location
search-icon
person
Dr. Samuel George Petersen, DDS
Oral and Maxillofacial Surgery (Dentist) in Sonora, California
NPI 1780848119

Samuel George Petersen is a Oral and Maxillofacial Surgery (Dentist) based in Sonora, CA and is specialized in Oral and Maxillofacial Surgery. Samuel George Petersen practices in Sonora, CA and has the professional credentials of DDS. The NPI Number for Samuel George Petersen is 1780848119 and holds a License No. 51511 (California).

The current practice location address for Samuel George Petersen is 940 Sylva Ln Ste K1, Sonora, CA and can be reached out via phone at 209-532-5578 and via fax at 209-532-6216.

Location: 940 Sylva Ln Ste K1, Sonora, CA, 95370-5969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780848119
Provider Name
Samuel George Petersen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
940 Sylva Ln Ste K1, Sonora, CA, 95370-5969
Phone Number
209-532-5578
Fax Number
209-532-6216
Provider Enumeration Date
07/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
940 Sylva Ln Ste K1
City
Sonora
State
California
Zip
95370-5969
Phone Number
209-532-5578
Fax Number
209-532-6216
person
Provider Business Mailing Address Details
Address
940 Sylva Ln Ste K1
City
Sonora
State
California
Zip
95370-5969
Phone Number
209-532-5578
Fax Number
209-532-6216
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
51511 (California)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.