Individual provider · Type 1 NPI
Nicholas Dee Petersen, DDS
General Practice Dentistry · Provo, UT
NPI number
1912790965
Active
Practice location
1234 N 900 E Ste 100
Provo, UT 84604-2726
Mailing address
1573 W Morning View Way
Lehi, UT 84043-7733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 14223904-9926 (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.
2 other providers at this address
Other general practice dentistry providers in Provo
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- Louis A. Erickson, DDSGeneral Practice Dentistry Provo, UT NPI 1043386824
- Paul Henry Rogers, DDSGeneral Practice Dentistry Provo, UT NPI 1043440357
- Jared HepworthGeneral Practice Dentistry Provo, UT NPI 1063893832
- Ryan Joseph Porter, DDSGeneral Practice Dentistry Provo, UT NPI 1083763668
- Chris Hammond, DMDGeneral Practice Dentistry Provo, UT NPI 1093043143
About NPI 1912790965
Nicholas Dee Petersen, DDS's National Provider Identifier is 1912790965, issued on May 23, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Provo, UT. The record was last updated on May 23, 2025.