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

Jonathan Michael Brown Petersen, DMD

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1821433848

Jonathan Michael Brown Petersen, DMD is an Orthodontics and Dentofacial Orthopedics Dentistry in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

500 SE Douglas Ave
Roseburg, OR 97470-3120
Phone: (541) 672-5721
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence D10421 (OR)

Record details

NPI number1821433848
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 3, 2013
Last updated in NPPESJuly 14, 2016
Mailing address2282 Nw Calkins Ave, Roseburg, OR 97471-1800

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