Individual provider · Type 1 NPI
Byron Thad Petersen, DDS
General Practice Dentistry · Salt Lake City, UT
Practice location
George E Wahlen Dept Of Veterans Affairs Medical Ctr, 500 Foothill Drive, Dental Service (160)
Salt Lake City, UT 84148-0001
Fax (801) 584-1251
Mailing address
2162 E. Creek Road
Sandy, UT 84093-6448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 135438-9923 (UT) |
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.
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About NPI 1477566198
Byron Thad Petersen, DDS's National Provider Identifier is 1477566198, issued on Aug 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.