Individual provider · Type 1 NPI
Chad William Petersen, DDS
Oral and Maxillofacial Surgery (Dentist) · Cheyenne, WY
NPI number
1336582212
Active
Practice location
6238 Yellowstone Rd
Cheyenne, WY 82009-3432
Fax (307) 635-2839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 1436 (WY) |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 1436 (WY) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4 other providers at this address
- Cheyenne Oral & Maxillofacial Surgery Associates, L.l.cOral and Maxillofacial Surgery Clinic/Center Cheyenne, WY NPI 1306046651
- Nathan Christopher Steele, DDS, MDOral and Maxillofacial Surgery (Dentist) Cheyenne, WY NPI 1588816243
- Rex Lee Dolan, DDSOral and Maxillofacial Surgery (Dentist) Cheyenne, WY NPI 1346455003
- Roland Brant Gustafson, DDSOral and Maxillofacial Surgery (Dentist) Cheyenne, WY NPI 1750437380
Other oral and maxillofacial surgery (dentist) providers in Cheyenne
About NPI 1336582212
Chad William Petersen, DDS's National Provider Identifier is 1336582212, issued on Apr 10, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cheyenne, WY. The record was last updated on Oct 28, 2026.