Doctor profile · Federal record
Dr. Jonathan Petersen, D.M.D.
Orthodontics and Dentofacial Orthopedic Dentist · Roseburg, OR
- NPI 1821433848
- 13 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
500 Se Douglas Ave
Roseburg, OR 974703120
(541) 672-5721 - Mailing address
-
2282 Nw Calkins Ave
Roseburg, OR 974711800
Credentials & registration
- NPI registered
- May 2013 — 13 yrs on file
- Profile last updated
- July 14, 2016
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Oregon #D10421
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821433848. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$105
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 2 | $95.53 | |
| Ultradent Products Inc | 1 | $9.15 |
By nature of payment
Frequently asked questions
What is Dr. Jonathan Petersen's medical specialty?
Dr. Jonathan Petersen practices Orthodontics and Dentofacial Orthopedic Dentist in Roseburg, OR.
Where does Dr. Jonathan Petersen practice?
Dr. Jonathan Petersen practices at 500 Se Douglas Ave, Roseburg, OR 974703120. Office phone: 5416725721.
What is Dr. Jonathan Petersen's NPI?
Dr. Jonathan Petersen's National Provider Identifier (NPI) is 1821433848, issued by NPPES.