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DAVID G PETERSEN D.D.S.
NPI 1194848655
Dentist - General Practice in Spokane, WA

Active since April 09, 2007
123 W FRANCIS AVE STE 104, SPOKANE, WA 99205(509) 483-3332(509) 483-9010 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David G Petersen D.d.s. NPPES

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

DAVID G PETERSEN D.D.S. (NPI 1194848655) is an individual general practice provider in Spokane, Washington, licensed in Washington (DE00004125) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1194848655
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDAVID G PETERSENCredential: D.D.S.
Location Address123 W FRANCIS AVE STE 104Spokane, WA 99205-6348
Mailing Address123 W Francis Ave Ste 104Spokane, WA 99205-6348 · (509) 483-3332 · Fax (509) 483-9010
Phone(509) 483-3332
Fax(509) 483-9010
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1194848655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00004125
Definition
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.
123 W FRANCIS AVE STE 104, Spokane, WA 99205
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Other Identifiers 1

Medicaid5051750WA

Other Providers at the Same Location NPPES

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

MELISSA A JOHNSON D.D.S.
Dentist (General Practice)
123 W FRANCIS AVE STE 104
SPOKANE, WA 99205
Spokane County (509) 483-3332

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 David Petersen's NPI number?

The NPI number for David Petersen is 1194848655. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is David Petersen located?

David Petersen practices at 123 W Francis Ave Ste 104, Spokane, WA 99205. The listed phone number is (509) 483-3332.

What is David Petersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for David Petersen was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.