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

Jeromy A Peterson, DDSPS

Individual provider General Practice Dentistry · NPI 1093817686

Jeromy A Peterson, DDSPS is a General Practice Dentistry in Poulsbo, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

19301 8th Ave NE
Poulsbo, WA 98370
Phone: (360) 779-3958
Fax: (360) 779-3033
Show map & directions

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

Additional practice locations (1)

  • 19170 8th Ave Ne, Poulsbo, WA 98370-8773 — (360) 779-3958

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE00008169 (WA)

Record details

NPI number1093817686
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSPS
Sole proprietorYes
NPI enumeratedSeptember 2, 2006
Last updated in NPPESMay 30, 2018
Mailing address19301 8th Ave Ne, Poulsbo, WA 98370-6200

Other providers in Poulsbo