Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912790965 Individual Practitioner Male Practitioner

Dr. Nicholas Dee Petersen , DDS

Dentist - General Practice • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Petersen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Provo, UT. Practice services are available at 1234 N 900 E STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1234 N 900 E Ste 100

Provo, UT 846042726

Telephone 8018549140
Associated Practice Facility / Clinic
🏢 Ninth East Dental Facility NPI 1902470198

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
61 Specialists

Practicing in Provo, UT (1388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 14223904-9926

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

3 Associated Practitioners
Jared Hepworth

Dentist - General Practice

NPI 1063893832
NPI 1609620368

Doctor of Dental Medicine

Dr. Adrian Huang , DMD

Dentist - General Practice

NPI 1902866114

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2025

Registered at 1234 N 900 E STE 100, PROVO, UT 846042726 (Tel: 8018549140)

📍
Updated Business Mailing Address May 23, 2025

Registered at 1573 W MORNING VIEW WAY, LEHI, UT 840437733 (Tel: 5034755812)

👤
Provider Name / Credentials Updated May 23, 2025

Recorded as NICHOLAS PETERSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2025

Dentist (License #14223904-9926 in UT)

🟢
Initial NPI Registration & Enumeration May 23, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912790965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2025
Last Update: May 23, 2025
Sole Proprietor: Yes

Mailing Address

1573 W Morning View Way

Lehi, UT 840437733

Phone: 5034755812

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.