1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Dentist
  6. NPI Profile

BETHANY ANNE PETERSEN DDS
NPI 1003170531
Dentist in Austin, TX

Active since June 29, 2012
4410 E RIVERSIDE DR STE 150, AUSTIN, TX 78741(855) 512-7625 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethany Anne Petersen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY ANNE PETERSEN DDS (NPI 1003170531) is an individual dentist in Austin, Texas, licensed in Texas (28004) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1003170531
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameBETHANY ANNE PETERSENCredential: DDS
Location Address4410 E RIVERSIDE DR STE 150Austin, TX 78741-4759
Mailing Address1620 E Riverside Dr Apt 4034Austin, TX 78741-1026 · (713) 492-7719
Phone(855) 512-7625
Sole ProprietorYes
Enumeration DateJune 29, 2012
✔ NPI 1003170531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 28004
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4410 E RIVERSIDE DR STE 150, Austin, TX 78741
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE AUSTIN DENTAL PLLC
Dentist (General Practice)
4410 E RIVERSIDE DR STE 150
AUSTIN, TX 78741
Travis County (512) 385-4700
AUTRINE LOGHMANIAN DMD
Dentist (General Practice)
4410 E RIVERSIDE DR STE 150
AUSTIN, TX 78741
Travis County (512) 669-5049
DR. BRADLEY ROBERT ALBERTSON DDS, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
4410 E RIVERSIDE DR STE 150
AUSTIN, TX 78741
Travis County (512) 385-4700
DR. SHWETHA RAMANATHAN DDS
Dentist
4410 E RIVERSIDE DR STE 150
AUSTIN, TX 78741
Travis County (512) 256-8754
SHAHRZAD M EMBRY DDS
Dentist
4410 E RIVERSIDE DR STE 150
AUSTIN, TX 78741
Travis County (512) 385-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Petersen's NPI number?

The NPI number for Bethany Petersen is 1003170531. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Bethany Petersen located?

Bethany Petersen practices at 4410 E Riverside Dr Ste 150, Austin, TX 78741. The listed phone number is (855) 512-7625.

What is Bethany Petersen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Bethany Petersen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Humana and 1 other insurer list Bethany Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany Petersen was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.