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Physician Profile

Kirk J. Petersen, D.M.D.

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At a glance

About Dr. Petersen

Kirk J. Petersen, D.M.D. is a dentist practicing in Smith River, CA. This provider record is associated with NPI 1285638106.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Dentist (Primary)

Credentials & Licensing

CA · Dental LicenseDental Board of California
No. 35534DelinquentExpired Mar 31, 2026Since 1987
NPINational Provider Identifier
1285638106Issued 2005

Snapshot · verify with the board ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Kirk J. Petersen specialize in?

Kirk J. Petersen is a dentist in Smith River, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Kirk J. Petersen located?

Kirk J. Petersen is listed at 501 N Indian Rd, Smith River, CA 95567. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kirk J. Petersen's phone number?

The number on file is (707) 487-0215. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kirk J. Petersen's NPI number?

Kirk J. Petersen's National Provider Identifier is 1285638106. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Kirk J. Petersen been practicing?

Kirk J. Petersen has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Kirk J. Petersen confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kirk J. Petersen. If this is you, claiming it is free.

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