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

JACOB DEAN PETERSON, DDS

Active

JACOB DEAN PETERSON, DDS is a Dentist healthcare provider located in CASPER, Wyoming. NPI 1407613425 is currently active in the NPPES registry. Verify at CMS.

Dentist · CASPER, WY

Registration Details

NPI Number
1407613425
Provider Type
Individual
Gender
Male
NPI Issued
Mar 5, 2024 (2.4843615798769 yrs)
Last Updated
Jan 29, 2025
License
1679 (WY)

Practice Information

Address
5000 BLACKMORE RD
CASPER, WY, 826093345
Browse WY providers · Browse ZIP 82609
Phone
3072336000
Fax
3072336019
Primary Specialty
Dentist
122300000X

Other Dentist Providers in CASPER, WY

Name Credential NPI
DR. T SHAUN SUTHERLAND DDS 1811904048
DR. BRENT LLOYD WEINHANDL DDS 1811091010
DR. KENT R. DOING DDS 1811092133
DR. BRUCE NELS EDDY DDS 1073697850
DR. SEAN FRANK ELLIS DDS 1093872582
DR. NEIL J ZESPY 1154456168
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.