John Conrad Peterson
D.D.S. | Dentist | 54+ years Exp
2983 Long Beach Rd, Oceanside
New York, 11572-3204
516-536-5777 855-201-3647
Maps & DirectionsJohn Conrad Peterson is a Oceanside, New York based Dentist with
54 years of experience in
General Practice Dentistry. He completed his graduation from
Columbia University College Of Dental Medicine in 1972. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of John Conrad Peterson is
029836-1 for General Practice Dentistry in New York. His current practice location is
2983 Long Beach Rd, Oceanside. Patients can reach him at
516-536-5777.
John Conrad Peterson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
John Conrad Peterson 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: | John Conrad Peterson |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Experience: | 54+ years |
| Medical School Attended: | Columbia University College Of Dental Medicine |
| Graduation Year: | 1972 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2983 Long Beach Rd, Oceanside,
New York, 11572-3204 |
| Phone: | 516-536-5777 |
| Fax: | 855-201-3647 |
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.
| PAC ID: | 6901119197 |
| Enrollment ID: | I20161228000428 |
| NPI Number: | 1881703700 |
| NPI Enumeration Date: | 30 Aug, 2006 |
| NPI Last Update On: | 23 Mar, 2015 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Conrad Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| 029836-1 | General Practice Dentistry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with John Conrad Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00304132 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2983 Long Beach Rd,
Oceanside, New York |
| Zip: | 11572-3204 |
| Phone Number: | 516-536-5777 |
| Fax Number: | 855-201-3647 |
Patients can reach John Conrad Peterson at
2983 Long Beach Rd, Oceanside, New York or can
call to book an appointment on 516-536-5777.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.