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

Daniel Petersen DDS, Inc

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1649677915

Daniel Petersen DDS, Inc is an Oral & Maxillofacial Surgery (D.M.D.) in Redding, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

316 Knollcrest Dr
Redding, CA 96002-0104
Phone: (530) 223-1811
Fax: (530) 223-1813
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 57031 (CA)

Record details

NPI number1649677915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Petersen — Owner · (530) 223-1811
Other names Riverside O.S.
NPI enumeratedDecember 2, 2014
Last updated in NPPESDecember 2, 2014
Mailing address316 Knollcrest Dr, Redding, CA 96002-0104