Dr Ian Petersen, DMD - Dentist in Santa Rosa, CA

Dr Ian Petersen, DMD is a Dentist based in Santa Rosa, California. Dr Ian Petersen is licensed to practice in California (license number 101238) and his current practice location is 2448 Guerneville Rd, Suite 200, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 579-2808.

NPI number for Dr Ian Petersen is 1225569916 and his current mailing address is 2577 Greenvale Ln, Santa Rosa, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225569916.

Contact Information

Dr Ian Petersen, DMD
2448 Guerneville Rd, Suite 200,
Santa Rosa, CA 95403-4175
(707) 579-2808
Not Available



Healthcare Provider's Profile

Full NameDr Ian Petersen
GenderMale
SpecialityDentist
Location2448 Guerneville Rd, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225569916
  • Provider Enumeration Date: 03/23/2017
  • Last Update Date: 03/25/2017

Medical Identifiers

Medical identifiers for Dr Ian Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225569916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 101238 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ian Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ian Petersen, DMD
2577 Greenvale Ln,
Santa Rosa, CA 95401-4041

Ph: (707) 477-6612
Dr Ian Petersen, DMD
2448 Guerneville Rd, Suite 200,
Santa Rosa, CA 95403-4175

Ph: (707) 579-2808

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› Verified 3 days ago


Dentist in Santa Rosa, CA

Mrs. Edita Vasiliauskas, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2448 Guerneville Rd, Santa Rosa, CA 95403
Phone: 707-579-2808    
Dr. Simone Winkler Downs, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1206 Farmers Lane, Santa Rosa, CA 95405
Phone: 707-575-4450    Fax: 415-789-1252
Paul James Steigerwald, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 868 2nd St, Santa Rosa, CA 95404
Phone: 707-525-1228    Fax: 707-525-1137
Dr. Ranolph Duane Rush, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403
Phone: 707-545-4104    Fax: 707-545-9668
Dr. Christopher Chhoum Chow, DDS, MD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1460 Farmers Ln, Santa Rosa, CA 95405
Phone: 707-566-7300    Fax: 707-566-7400
Dr. Brian William Payne, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 36 Doctors Park Dr, Santa Rosa, CA 95405
Phone: 707-546-5234    Fax: 707-546-3928
Dr. Hiko Ruo, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 95 Montgomery Dr, Suite 212, Santa Rosa, CA 95404
Phone: 707-528-3412    Fax: 707-528-1058

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