NPPES file of Aug 9, 2026

Samuel George Petersen, D.D.S.

Oral and Maxillofacial Surgery (Dentist) · Sonora, CA

Samuel George Petersen, D.D.S. is an oral and maxillofacial surgery (dentist) with a practice address in Sonora, California, and NPI 1780848119, issued on Jul 15, 2008. Check the license (California 51511, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1780848119
Name
Samuel George Petersen
Credential
D.D.S.
Primary taxonomy
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License number
51511 CA
Self-reported in NPPES; status is on the state search
Practice location
940 Sylva LN Ste K1, Sonora, CA 95370
Phone
(209) 532-5578
Enumerated
Jul 15, 2008
Record last updated
Jul 15, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(209) 532-6216
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Samuel George Petersen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 51511
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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41% fewer Medicare Part D claims than the average oral and maxillofacial surgery (dentist) in 2024

238 Medicare Part D claims for 119 beneficiaries, against an average of 406 among the 5,870 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 108 claims were for opioids.

  1. Samuel Petersen238
  2. Specialty average406

Most prescribed

  1. Tramadol Hcl62 claims
  2. Ibuprofen45 claims
  3. Hydrocodone-Acetaminophen41 claims
  4. Chlorhexidine Gluconate24 claims
  5. Amoxicillin21 claims
  6. Dexamethasone14 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Samuel George Petersen among 987 oral and maxillofacial surgery (dentist) records in California

Samuel George Petersen, D.D.S. is one of 987 oral and maxillofacial surgery (dentist) records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 58% of them.

  • NPI issued2008 · 58% of these records are older, 36% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileNo · 7% of these records are
  • Record last updated2008 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223S0112X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Oral and Maxillofacial Surgery (Dentist) providers in California

There are 987 oral and maxillofacial surgery (dentist) records in California.

The 8 oral and maxillofacial surgery (dentist) records with the nearest ZIP codes

  1. Slim Bouchoucha, D.D.S.,M.S.Sonora, CA 953701275652422
  2. Frederick Mathews, D.D.S.,M.S.Sonora, CA 953701639298755
  3. Victor PakTurlock, CA 953821912950080
  4. Kevin Furmanek, DDS, MDModesto, CA 953561275957037
  5. Brian Hutto, DMDModesto, CA 953551568654986
  6. Roland Young, D.D.S.Modesto, CA 953551609832427
  7. Stanley Baker, D.D.S.Modesto, CA 953501144339987
  8. Michael Cadra, M.D., D.M.D.Modesto, CA 953501346359171

Common questions

What is Samuel George Petersen, D.D.S.'s NPI number?

Samuel George Petersen, D.D.S.'s National Provider Identifier (NPI) is 1780848119, issued on Jul 15, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Samuel George Petersen, D.D.S. located?

The NPPES record lists a practice address at 940 Sylva LN Ste K1, Sonora, CA, 95370. Phone: (209) 532-5578. Providers update this record themselves, so call before visiting.

How can I verify Samuel George Petersen, D.D.S.'s license?

NPPES lists California license number 51511, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Samuel George Petersen, D.D.S. prescribe under Medicare Part D?

In 2024, Samuel George Petersen, D.D.S. had 238 Medicare Part D claims for 119 beneficiaries; the average among oral and maxillofacial surgery (dentist) prescribers was 406. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.