DR. BYRON THAD PETERSEN D.D.S.
NPI 1477566198
Dentist - General Practice in Salt Lake City, UT

Active since August 14, 2006
GEORGE E WAHLEN DEPT OF VETERANS AFFAIRS MEDICAL CTR, 500 FOOTHILL DRIVE, DENTAL SERVICE (160), SALT LAKE CITY, UT 84148(801) 584-1206(801) 584-1251 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Byron Thad Petersen D.d.s. NPPES

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

DR. BYRON THAD PETERSEN D.D.S. (NPI 1477566198) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (135438-9923) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1477566198
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BYRON THAD PETERSENCredential: D.D.S.
Location AddressGEORGE E WAHLEN DEPT OF VETERANS AFFAIRS MEDICAL CTR, 500 FOOTHILL DRIVE, DENTAL SERVICE (160)Salt Lake City, UT 84148-0001
Mailing Address2162 E. Creek RoadSandy, UT 84093-6448 · (801) 942-2631
Fax(801) 584-1251
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477566198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 135438-9923
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.
GEORGE E WAHLEN DEPT OF VETERANS AFFAIRS MEDICAL CTR, Salt Lake City, UT 84148

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 Byron Petersen's NPI number?

The NPI number for Byron Petersen is 1477566198. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Byron Petersen located?

Byron Petersen practices at George E Wahlen Dept Of Veterans Affairs Medical Ctr 500 Foothill Drive, Dental Service (160), Salt Lake City, UT 84148. The listed phone number is (801) 584-1206.

What is Byron 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 Byron 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.