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

Individual provider General Practice Dentistry · NPI 1881703700

John Conrad Peterson, DDS is an Oral Surgery in Oceanside, New York. Graduated from Columbia University College of Dental Medicine in 1972, 54 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
54
Trained at
Columbia University College of Dental Medicine
Licensed in
NY
In the registry since
2006
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

2983 Long Beach Rd
Oceanside, NY 11572-3204
Phone: (516) 536-5777
Fax: (855) 201-3647
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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 029836-1 (NY)

Record details

NPI number1881703700
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address2983 Long Beach Rd, Oceanside, NY 11572-3204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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