Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS DEE PETERSEN, DDS
Active Sole ProprietorNICHOLAS DEE PETERSEN, DDS is a General Dentistry healthcare provider located in PROVO, Utah. NPI 1912790965 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PROVO, UT
Registration Details
- NPI Number
- 1912790965
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2025 (1.2334348491596 yrs)
- Last Updated
- May 23, 2025
- License
-
14223904-9926 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1234 N 900 E STE 100PROVO, UT, 846042726Browse UT providers · Browse ZIP 84604
- Phone
- 8018549140
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY A YOUNGQUIST | DDS | 1699746529 |
| DR. ADRIAN G. HUANG | DMD | 1902866114 |
| DR. ERIC IVAN TIDWELL | DDS | 1932131562 |
| DR. ALBERT BAXTER CLARK | D.D.S. | 1477571677 |
| DR. QUINN J SCHIFFMAN | DDS | 1871506428 |
| DR. RANDALL CLIFFORD HOBBS | DDS | 1558477208 |
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.