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Active NPI 1689480782 Individual Practitioner Female Practitioner

Dr. Haley Petersen , DDS

Dentist - General Practice • San Leandro, CA

Professional Overview & Biography Verified Profile Summary

Dr. Haley Petersen, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Leandro, CA. Practice services are available at 3081 TEAGARDEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3081 Teagarden St

San Leandro, CA 945775720

Telephone 5103474620
Associated Practice Facility / Clinic
🏢 Davis Street Community Center Facility NPI 1164621454

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Leandro, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
76 Specialists

Practicing in San Leandro, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA DDS110940

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003246323
Molly Russo

Counselor - Mental Health

NPI 1013260736
Leilani Hart

Student in an Organized Health Care Education/Training Program

NPI 1023240207
Brittany Schnebly

Psychologist - School

NPI 1053837989
Victor Avalos

Counselor - Mental Health

NPI 1073917050
Emma Carter-Alexander

Student in an Organized Health Care Education/Training Program

NPI 1093094245

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2024

Registered at 3081 TEAGARDEN ST, SAN LEANDRO, CA 945775720 (Tel: 5103474620)

📍
Updated Business Mailing Address December 04, 2024

Registered at 474 VISTA CT, BENICIA, CA 945102716 (Tel: 7073344221)

👤
Provider Name / Credentials Updated December 04, 2024

Recorded as HALEY PETERSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2024

Dentist (License #DDS110940 in CA)

🟢
Initial NPI Registration & Enumeration December 04, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689480782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2024
Last Update: December 04, 2024
Sole Proprietor: No

Mailing Address

474 Vista Ct

Benicia, CA 945102716

Phone: 7073344221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.