Individual provider · Type 1 NPI
Michelle Lynn Petersen, DDS
General Practice Dentistry · Prairie Village, KS
NPI number
1063488047
Active
Practice location
8010 State Line Rd, Suite 210
Prairie Village, KS 66208-3710
Fax (913) 648-7605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5735 (KS) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
Other general practice dentistry providers in Prairie Village
- Eugene Francis McGill, DDSGeneral Practice Dentistry Prairie Village, KS NPI 1073591947
- Scott Bradley Craven, DDSGeneral Practice Dentistry Prairie Village, KS NPI 1104804079
- Allan D. Reichman, DDSGeneral Practice Dentistry Prairie Village, KS NPI 1104983261
- Lindy Cope, DDSGeneral Practice Dentistry Prairie Village, KS NPI 1134500986
- Donald Joseph Jirovec Jr., DDSGeneral Practice Dentistry Prairie Village, KS NPI 1144303884
- Robert D. Deay, DDSGeneral Practice Dentistry Prairie Village, KS NPI 1164471132
- William Stuart Dexter, DDSGeneral Practice Dentistry Prairie Village, KS NPI 1164538518
- Dallas Ray Ziegenhorn, DDSGeneral Practice Dentistry Prairie Village, KS NPI 1174525133
About NPI 1063488047
Michelle Lynn Petersen, DDS's National Provider Identifier is 1063488047, issued on Feb 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Prairie Village, KS. The record was last updated on Jul 13, 2026.