DR. BURKE B. PETERSON D.D.S.
NPI 1366644668
Dentist - General Practice in Salt Lake City, UT

Active since May 31, 2007
250 E BROADWAY, SUITE 310, SALT LAKE CITY, UT 84111(801) 322-4082(801) 322-4082 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Burke B. Peterson D.d.s. NPPES

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

DR. BURKE B. PETERSON D.D.S. (NPI 1366644668) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (135446) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1366644668
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BURKE B. PETERSONCredential: D.D.S.
Location Address250 E BROADWAY, SUITE 310Salt Lake City, UT 84111-2418
Mailing Address250 E Broadway, Suite 310Salt Lake City, UT 84111-2418 · (801) 322-4082 · Fax (801) 322-4082
Fax(801) 322-4082
Sole ProprietorYes
Enumeration DateMay 31, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1366644668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in UT · 135446 Licensed in UT · 37895
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.
250 E BROADWAY, Salt Lake City, UT 84111

Other Providers at the Same Location NPPES

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
250 E BROADWAY, SUITE 380
SLC, UT 84111

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 Burke Peterson's NPI number?

The NPI number for Burke Peterson is 1366644668. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Burke Peterson located?

Burke Peterson practices at 250 E Broadway Suite 310, Salt Lake City, UT 84111. The listed phone number is (801) 322-4082.

What is Burke Peterson'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 Burke Peterson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.