# DR. PETER CHRISTOPHER JESSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700946464
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4320 | NE | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4320 | NE | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 47056311300 | — | NE |