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

Jon E Peterson DDS , APC

Organization Periodontics · NPI 1386736445

Jon E Peterson DDS , APC is a Periodontics in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
APC — A professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4076 3rd Ave Ste 201
San Diego, CA 92103-2129
Phone: (619) 298-2322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 28790 (CA)

Record details

NPI number1386736445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Peterson — President · (619) 298-2322
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 16, 2013
Mailing address4076 3rd Ave Ste 201, San Diego, CA 92103-2129

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