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

Petersen Dental LLC

Organization Dentist · NPI 1417315656

Petersen Dental LLC is a Dentist in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016
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 →

Practice location Address checks out

10458 S Redwood Rd
South Jordan, UT 84095-8501
Phone: (801) 302-8989
Fax: (801) 302-8989
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7702761-99021 (UT)

Record details

NPI number1417315656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luke Petersen — Owner · (801) 302-8989
NPI enumeratedFebruary 2, 2016
Last updated in NPPESFebruary 2, 2016
Mailing address10458 S Redwood Rd, South Jordan, UT 84095-8501

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