Audrey Lauren Peterson, DDS - Dentist in Oakland, CA

Audrey Lauren Peterson, DDS is a Dentist - General Practice based in Oakland, California. Audrey Lauren Peterson is licensed to practice in California (license number 58443) and her current practice location is 5277 College Ave Ste 203, Oakland, California. She can be reached at her office (for appointments etc.) via phone at (510) 654-2226.

NPI number for Audrey Lauren Peterson is 1194050617 and her current mailing address is 5277 College Ave Ste 203, Oakland, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194050617.

Contact Information

Audrey Lauren Peterson, DDS
5277 College Ave Ste 203,
Oakland, CA 94618-1437
(510) 654-2226
(510) 595-1455

Map and Direction




Healthcare Provider's Profile

Full NameAudrey Lauren Peterson
GenderFemale
SpecialityDentist - General Practice
Location5277 College Ave Ste 203, Oakland, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194050617
  • Provider Enumeration Date: 10/16/2009
  • Last Update Date: 10/16/2009

Medical Identifiers

Medical identifiers for Audrey Lauren Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194050617NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 58443 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audrey Lauren Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Audrey Lauren Peterson, DDS
5277 College Ave Ste 203,
Oakland, CA 94618-1437

Ph: (510) 654-2226
Audrey Lauren Peterson, DDS
5277 College Ave Ste 203,
Oakland, CA 94618-1437

Ph: (510) 654-2226

Reviews and Comments


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