Nicholas D. Petersen, DDS
General Dentistry · Provo, UT
UnclaimedDDSNPI 1912790965
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2025-05-23
- Practice location
- Provo, UT
- Last NPPES update
- 2025-05-23
State licenses
- UT · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.