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

DR. TYSON PETERESN

Active Organization

DR. TYSON PETERESN is a Dental Clinic organization located in LOGAN, Utah. NPI 1972121770 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · LOGAN, UT

Registration Details

NPI Number
1972121770
Provider Type
Organization
NPI Issued
Jul 8, 2020 (5.9550204843988 yrs)
Last Updated
Jul 8, 2020

Practice Information

Address
110 E 200 N
LOGAN, UT, 843214007
Browse UT providers · Browse ZIP 84321
Phone
4357520300
Fax
4357557625
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in LOGAN, UT

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.