Dr. David E. Petersen , DDS
Dentist - General Practice • Sandy, UT
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Petersen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. David Petersen, DDS was a registered Dentist - General Practice practicing in Sandy, UT. Throughout an active medical career spanning 13 years, Dr. Petersen provided care at the practice location at 1025 E 11400 S until profile deactivation on 2019-01-22.
Practice Location & Contact Primary Location
1025 E 11400 S
Sandy, UT 840946942
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Sandy, UT
Practicing in Sandy, 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Chiropractor
Doctor of Chiropractic
Dentist - General Practice
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 22, 2019
NPI status registered as active in NPPES database
Registered at 1025 E 11400 S, SANDY, UT 840946942 (Tel: 8015768696)
Registered at 1025 E 11400 S, SANDY, UT 840946942 (Tel: 8015768696)
Recorded as DAVID PETERSEN, D.D.S.
Dentist (License #143555 in UT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1025 E 11400 S
Sandy, UT 840946942
Phone: 8015768696
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