Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew M Petersen, DDS, LLC

Organization General Practice Dentistry · NPI 1114189883

Andrew M Petersen, DDS, LLC is a General Practice Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4802 E Ray Rd Ste #19
Phoenix, AZ 85044-6405
Phone: (480) 893-7733
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7013 (AZ)

Record details

NPI number1114189883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Petersen — Owner · (480) 893-7733
NPI enumeratedJune 25, 2008
Last updated in NPPESJune 25, 2008
Mailing address4802 E Ray Rd, Suite #19, Phoenix, AZ 85044-6405

Other providers in Phoenix