Dr. Samuel George Petersen
D.D.S. | Oral and Maxillofacial Surgeon
940 Sylva Ln Ste K1, Sonora
California, 95370-5969
209-532-5578 209-532-6216
Maps & DirectionsDr. Samuel George Petersen is a Sonora, California based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Samuel George Petersen is
51511 for Oral and Maxillofacial Surgery in California. His current practice location is
940 Sylva Ln Ste K1, Sonora. Patients can reach him at
209-532-5578.
Dr. Samuel George Petersen deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Samuel George Petersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Samuel George Petersen |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 940 Sylva Ln Ste K1, Sonora,
California, 95370-5969 |
| Phone: | 209-532-5578 |
| Fax: | 209-532-6216 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1780848119 |
| NPI Enumeration Date: | 15 Jul, 2008 |
| NPI Last Update On: | 15 Jul, 2008 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Samuel George Petersen are as mentioned below.
| License Number | Specialization | State | Status | |
| 51511 | Oral and Maxillofacial Surgery | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 940 Sylva Ln Ste K1,
Sonora, California |
| Zip: | 95370-5969 |
| Phone Number: | 209-532-5578 |
| Fax Number: | 209-532-6216 |
Patients can reach Dr. Samuel George Petersen at
940 Sylva Ln Ste K1, Sonora, California or can
call to book an appointment on 209-532-5578.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.