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

Petersen and Weller DDS PLLC

Organization General Practice Dentistry · NPI 1417960782

Petersen and Weller DDS PLLC is a General Practice Dentistry in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22833 Bothell Everett Hwy SE Ste #205
Bothell, WA 98021
Phone: (425) 485-6540
Fax: (425) 486-1740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5471 (WA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 8485 (WA)

Record details

NPI number1417960782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Beyer — Financial Coordinator · (425) 485-6540
NPI enumeratedAugust 15, 2006
Last updated in NPPESAugust 22, 2020
Mailing address22833 Bothell Everett Hwy Se, Ste #205, Bothell, WA 98021

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