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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHAD WILLIAM PETERSEN, DDS

Active

DR. CHAD WILLIAM PETERSEN, DDS is a Oral & Maxillofacial Surgery healthcare provider located in CHEYENNE, Wyoming. NPI 1336582212 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · CHEYENNE, WY

Registration Details

NPI Number
1336582212
Provider Type
Individual
Gender
Male
NPI Issued
Apr 10, 2013 (13.311304040774 yrs)
Last Updated
Dec 12, 2020
License
1436 (WY)

Practice Information

Address
6238 YELLOWSTONE RD
CHEYENNE, WY, 820093432
Browse WY providers · Browse ZIP 82009
Phone
3076356940
Fax
3076352839
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in CHEYENNE, WY

Name Credential NPI
DR. ROLAND BRANT GUSTAFSON DDS 1750437380
DR. REX LEE DOLAN DDS 1346455003
DR. NATHAN CHRISTOPHER STEELE DDS, MD 1588816243
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.