SearchColoradoGeneral Practice Dentistry

Michael Petersen, DDS

NPI 1629078704 · on the registry since 2005 · sole proprietor

Practice

Address
10219 Parkglenn Way
Ste 200
Parker, CO 80138
Phone
(303) 840-2920
Fax
(303) 805-2905
Organisation at this address
Oms Associates Colorado Pc
Associates In Maxillofacial And Oral Surgery, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-13

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 Colorado