Individual
DR. PETER STEVEN TOMMERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
25647 REDWOOD HWY, CAVE JUNCTION, OR 97523-9332
(541) 592-4111
(541) 471-1439
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 479-6393
(541) 471-1439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8586
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026459
—
OR
Enumeration date
12/19/2006
Last updated
04/29/2026
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