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

Mr. James G Petersen, DMD, PC

Individual provider General Practice Dentistry · NPI 1306844030

Mr. James G Petersen, DMD, PC is a General Practice Dentistry in Prineville, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005
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

607 NE 3rd St
Prineville, OR 97754-2021
Phone: (541) 447-3855
Fax: (541) 416-9580
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D5391 (OR)

Record details

NPI number1306844030
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , PC
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESJuly 8, 2007

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