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

Dr. Susan Petersen, DMD

Individual provider General Practice Dentistry · NPI 1912984352

Dr. Susan Petersen, DMD is a General Practice Dentistry in Santa Rosa, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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

2448 Guerneville Rd Ste 200
Santa Rosa, CA 95403-4175
Phone: (707) 579-2808
Fax: (707) 579-2877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 35667 (CA)

Record details

NPI number1912984352
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESJuly 13, 2026

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