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R. KELLY PETERSEN D.D.S.
NPI 1285852426
Dentist - General Practice in Parker, CO

Active since April 23, 2007
17021 LINCOLN AVE UNIT B, PARKER, CO 80134(720) 851-7069 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About R. Kelly Petersen D.d.s. NPPES

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

R. KELLY PETERSEN D.D.S. (NPI 1285852426) is an individual general practice provider in Parker, Colorado, licensed in Colorado (7978) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1285852426
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameR. KELLY PETERSENCredential: D.D.S.
Location Address17021 LINCOLN AVE UNIT BParker, CO 80134-3146
Mailing Address17021 Lincoln Ave Unit BParker, CO 80134-3146 · (720) 851-7069
Phone(720) 851-7069
Sole ProprietorNo
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285852426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 7978
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.
17021 LINCOLN AVE UNIT B, Parker, CO 80134
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Other Providers at the Same Location NPPES 3

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

DEVIN K RENTZ DDS PC
Clinic/Center (Dental)
17021 LINCOLN AVE UNIT B
PARKER, CO 80134
Douglas County (720) 851-7069
DR. DEVIN KORY RENTZ
Dentist (General Practice)
17021 LINCOLN AVE UNIT B
PARKER, CO 80134
Douglas County (720) 851-7069
STONEGATE DENTAL, INC.
Dentist (General Practice)
17021 LINCOLN AVE UNIT B
PARKER, CO 80134
Douglas County (720) 851-7069

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 R. Petersen's NPI number?

The NPI number for R. Petersen is 1285852426. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is R. Petersen located?

R. Petersen practices at 17021 Lincoln Ave Unit B, Parker, CO 80134. The listed phone number is (720) 851-7069.

What is R. 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 R. Petersen was last updated on July 8, 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.