NICHOLAS PETERSEN, DDS
Dentist - General Practice
Active
Individual
NPI: 1912790965
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 14223904-9926 (UT) |
Frequently Asked Questions
NPI 1912790965 is the National Provider Identifier for NICHOLAS PETERSEN, DDS, a Dentist - General Practice provider located in Provo, UT. This NPI was enumerated on May 23, 2025.
NICHOLAS PETERSEN, DDS practices at 1234 N 900 E STE 100, Provo, UT 84604.
Quick Facts
- NPI
- 1912790965
- Type
- Individual
- Enumerated
- May 23, 2025
- Last Updated
- May 23, 2025
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