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PETERSEN DENTAL LLC
NPI 1417315656
Dentist in South Jordan, UT

Active since February 02, 2016
10458 S REDWOOD RD, SOUTH JORDAN, UT 84095(801) 302-8989(801) 302-8989 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petersen Dental Llc NPPES

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

PETERSEN DENTAL LLC (NPI 1417315656) is a healthcare organization registered as a dentist in South Jordan, Utah and active in the NPI registry since February 2016. The organization lists Luke Petersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1417315656
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePETERSEN DENTAL LLC
Location Address10458 S REDWOOD RDSouth Jordan, UT 84095-8501
Mailing Address10458 S Redwood RdSouth Jordan, UT 84095-8501 · (801) 302-8989 · Fax (801) 302-8989
Phone(801) 302-8989
Fax(801) 302-8989
Organization SubpartNo
Authorized OfficialLuke PetersenOwner · (801) 302-8989
Enumeration DateFebruary 2, 2016
✔ NPI 1417315656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 7702761-99021
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.
10458 S REDWOOD RD, South Jordan, UT 84095
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

SOUTH JORDAN PDC PLLC
Dentist
10458 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-8989
RYAN HUNTER DDS
Dentist (General Practice)
10458 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 312-8085
RYAN GLEN FRANDSEN RDH
Dental Hygienist
10458 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 312-8085
DR. KEVIN STAPLETON DDS
Dentist
10458 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 312-8085

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 Petersen Dental LLC's NPI number?

The NPI number for Petersen Dental LLC is 1417315656. It was assigned to this organization in the NPPES registry on February 2, 2016.

Where is Petersen Dental LLC located?

Petersen Dental LLC is located at 10458 S Redwood Rd, South Jordan, UT 84095. The listed phone number is (801) 302-8989.

What is Petersen Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Petersen Dental LLC was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.