Individual provider · Type 1 NPI

Bethany Anne Petersen, DDS

Dentist · Austin, TX

NPI number 1003170531 Active

Practice location

4410 E Riverside Dr Ste 150
Austin, TX 78741-4759

Mailing address

1620 E Riverside Dr Apt 4034
Austin, TX 78741-1026

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X28004 (TX)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1003170531

Bethany Anne Petersen, DDS's National Provider Identifier is 1003170531, issued on Jun 29, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Austin, TX. The record was last updated on Jun 29, 2012.