Dr. Tyson Don Petersen , DDS
Dentist - General Practice • Logan, UT
Professional Overview & Biography Verified Profile Summary
Dr. Tyson Petersen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Logan, UT. Practice services are available at 1260 N 200 E under active NPI credentials.
Practice Location & Contact Primary Location
1260 N 200 E
Logan, UT 843417560
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Logan, UT
Practicing in Logan, UT (1388 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Dentist (License #4774 in ID)
NPI status registered as active in NPPES database
Registered at 1260 N 200 E, LOGAN, UT 843417560 (Tel: 4357528000)
Registered at 763 E 350 S, SMITHFIELD, UT 843351325 (Tel: (435) 730-6233)
Recorded as TYSON PETERSEN, D.D.S.
Dentist (License #10387670-9923 in UT)
NPI status registered as active in NPPES database
Registered at 465 MEMORIAL DR, POCATELLO, ID 832014008 (Tel: 2082826000)
Registered at 465 MEMORIAL DR, POCATELLO, ID 832014008 (Tel: 2082826000)
Recorded as TYSON PETERSEN, D.D.S.
Dentist (License #4774 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
763 E 350 S
Smithfield, UT 843351325
Phone: 4357306233
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.