Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS A PETERSEN, D.M.D.
ActiveDR. DOUGLAS A PETERSEN, D.M.D. is a Dentist healthcare provider located in NEPHI, Utah. NPI 1003942335 is currently active in the NPPES registry. Verify at CMS.
Dentist · NEPHI, UT
Registration Details
- NPI Number
- 1003942335
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2007 (19.498184584816 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5130379-9922 (UT)
Practice Information
- Address
-
310 N 400 ENEPHI, UT, 846481558Browse UT providers · Browse ZIP 84648
- Phone
- 4356231918
- Fax
- 4356237137
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.