Dean B Petterson DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DEAN B PETTERSON DMD PC

Practice address

121 NW 1St St
Gresham, OR 97030-7215

Phone

(503) 667-1001

Fax

(503) 663-3500

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dean Petterson, DMD

Title

Owner

Phone

(503) 667-1001

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295846376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NW 1ST ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307215",
            "telephone_number": "503-667-1001",
            "fax_number": "503-663-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NW 1ST ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307215",
            "telephone_number": "503-667-1001",
            "fax_number": "503-663-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN B PETTERSON DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETTERSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-667-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Dawson, PHARMD
• Rachel Ann Dawson, PEER
• Jaycanna 'Anna' Michelle Day, PSS
• Julie De Guzman
• Jose Luis De la Torre Jr., MA
• Chelisa Maria Deanda-Hescock
• Susan Deane, L.C.S.W.
• Deca Dentistry
• Beatrice E Deca, D.M.D.
• Yisak Yoseph Dechaso

• General Practice Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.