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

Jon E Peterson, DDS

Individual provider Periodontics · NPI 1285726380

Jon E Peterson, DDS is a Periodontics in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
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

4076 3rd Ave # SU.201
San Diego, CA 92103-2129
Phone: (619) 298-2322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 28790 (CA)

Record details

NPI number1285726380
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 8, 2007

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