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DR. JASON DAYNE PETERSEN MD
NPI 1215105804
Plastic Surgery - Plastic Surgery Within the Head and Neck in Salt Lake City, UT

Active since February 15, 2008
5353 S 960 E, #150, SALT LAKE CITY, UT 84117(801) 261-5791(801) 747-7740 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason Dayne Petersen Md NPPES

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

DR. JASON DAYNE PETERSEN MD (NPI 1215105804) is an individual plastic surgery within the head and neck provider in Salt Lake City, Utah, licensed in Utah (83185641205) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1215105804
Entity TypeIndividualMale
Primary Taxonomy2082S0099X
Provider Legal NameDR. JASON DAYNE PETERSENCredential: MD
Location Address5353 S 960 E, #150Salt Lake City, UT 84117-3569
Mailing Address5353 S 960 E, #150Salt Lake City, UT 84117-3569 · (801) 971-8684
Phone(801) 261-5791
Fax(801) 747-7740
Sole ProprietorNo
Enumeration DateFebruary 15, 2008
Last NPPES UpdateAugust 7, 2012
✔ NPI 1215105804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians
Taxonomy Code2082S0099X
License✔ Licensed in UT · 83185641205
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 83185641205 (UT)
5353 S 960 E, Salt Lake City, UT 84117
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Other Providers at the Same Location NPPES 6

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

DR. MATTHEW V. DAVIES PH.D.
Psychologist (Forensic)
5353 S 960 E, SUITE 230
MURRAY, UT 84117
Salt Lake County (801) 263-3335
ERIC MCKEON PHARMD
Pharmacist
5353 S 960 E
SALT LAKE CITY, UT 84117
Salt Lake County (801) 288-4013
MONICA D CHRISTY PHD PC
Psychologist (Clinical)
5353 S 960 E, SUITE 230
MURRAY, UT 84117
Salt Lake County (801) 263-3335
J. DAYNE PETERSEN M.D., PC
Clinic/Center (Medical Specialty)
5353 S 960 E, #150
SALT LAKE CITY, UT 84117
Salt Lake County (801) 261-5791
KYUNGSUN JEONG KIM PHARM D
Pharmacist
5353 S 960 E, #103
SALT LAKE CITY, UT 84117
Salt Lake County (801) 288-4013
JESSICA BLANCHARD PHARMD
Pharmacist
5353 S 960 E
SALT LAKE CITY, UT 84117
Salt Lake County (801) 288-4013

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 Jason Petersen's NPI number?

The NPI number for Jason Petersen is 1215105804. It was assigned to this individual provider in the NPPES registry on February 15, 2008.

Where is Jason Petersen located?

Jason Petersen practices at 5353 S 960 E #150, Salt Lake City, UT 84117. The listed phone number is (801) 261-5791.

What is Jason Petersen's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

When was this NPI record last updated?

The NPPES record for Jason Petersen was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.