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

Dr. Alexander Gregory O'Neal Petersen, DMD

Individual provider Dentist · NPI 1407577844

Dr. Alexander Gregory O'Neal Petersen, DMD is a Dentist in Eagle Point, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

11160 Highway 62
Eagle Point, OR 97524-8025
Phone: (541) 500-0763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11692 (OR)

Record details

NPI number1407577844
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 5, 2022
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

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