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LILLIAN PETERSEN CDL, LD
NPI 1699198663
Denturist in Florence, OR

Active since January 28, 2014
524 LAUREL STREET, FLORENCE, OR 97439(541) 997-6054(541) 997-6054 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lillian Petersen Cdl, Ld NPPES

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

LILLIAN PETERSEN CDL, LD (NPI 1699198663) is an individual denturist in Florence, Oregon, licensed in Oregon (DT DO 706283) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1699198663
Entity TypeIndividualFemale
Primary Taxonomy122400000X
Provider Legal NameLILLIAN PETERSENCredential: CDL, LD
Location Address524 LAUREL STREETFlorence, OR 97439-0004
Mailing AddressPo Box 96Florence, OR 97439-0004 · (541) 997-6054 · Fax (541) 997-6054
Phone(541) 997-6054
Fax(541) 997-6054
Sole ProprietorYes
Enumeration DateJanuary 28, 2014
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1699198663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License✔ Licensed in OR · DT DO 706283
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
524 LAUREL STREET, Florence, OR 97439
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Other Identifiers 1

Other122400000XOR · Denturist

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 Lillian Petersen's NPI number?

The NPI number for Lillian Petersen is 1699198663. It was assigned to this individual provider in the NPPES registry on January 28, 2014.

Where is Lillian Petersen located?

Lillian Petersen practices at 524 Laurel Street, Florence, OR 97439. The listed phone number is (541) 997-6054.

What is Lillian Petersen's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Lillian Petersen was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.