Douglas Petersen, D.M.D
NPI 1003942335 · on the registry since 2007
Practice
- Address
- 310 N 400 E
Nephi, UT 84648 - Phone
- (435) 623-1918
- Fax
- (435) 623-7137
- Organisation at this address
- Pinnacle Advanced Dentistry Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah