Individual provider · Type 1 NPI

Brady Todd Petersen, DMD, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Las Vegas, NV

NPI number 1003346917 Active

Practice location

6425 S Durango Dr Ste 120
Las Vegas, NV 89113-7113

Call (702) 757-5355 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XS3-366 (NV)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1003346917

Brady Todd Petersen, DMD, MS's National Provider Identifier is 1003346917, issued on Jun 13, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 30, 2024.