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

Kirk J Petersen DMD Professional Corp

Organization Customized Equipment (DME) · NPI 1750722930

Kirk J Petersen DMD Professional Corp is a Customized Equipment (DME) in Hemet, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3232 W Florida Ave
Hemet, CA 92545-3622
Phone: (951) 652-4464
Fax: (951) 929-7090
Show map & directions

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

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence 35534 (CA)

Record details

NPI number1750722930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirk Petersen — President · (951) 652-4464
Other names Hemet West Dental Office
NPI enumeratedJuly 16, 2013
Last updated in NPPESJuly 16, 2013
Mailing address3232 W Florida Ave, Hemet, CA 92545-3622