Individual
DR. ALEXANDER GREGORY O'NEAL PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11160 HIGHWAY 62, EAGLE POINT, OR 97524-8025
(541) 500-0763
Mailing address
1221 DISK DR, MEDFORD, OR 97501-6638
(458) 658-5930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11692
OR
Other
Enumeration date
09/05/2022
Last updated
02/25/2026
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