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

Dr. Daniel W Petersen, DDS

Individual provider Dentist · NPI 1497817191

Dr. Daniel W Petersen, DDS is a Dentist in Redding, California. Practices as a sole proprietor. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

316 Knollcrest Dr
Redding, CA 96002-0104
Phone: (530) 223-1811
Fax: (530) 223-1813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 57031 (CA)
Dentist Taxonomy 122300000X · Licence 050824 (NY)

Record details

NPI number1497817191
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 16, 2006
Last updated in NPPESDecember 5, 2014
Mailing address316 Knollcrest Dr, Redding, CA 96002-0104

Other providers in Redding