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

Bethany Anne Petersen, DDS

Individual provider Dentist · NPI 1003170531

Bethany Anne Petersen, DDS is a Dentist in Austin, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4410 E Riverside Dr Ste 150
Austin, TX 78741-4759
Phone: (855) 512-7625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 28004 (TX)

Record details

NPI number1003170531
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 29, 2012
Last updated in NPPESJune 29, 2012
Mailing address1620 E Riverside Dr Apt 4034, Austin, TX 78741-1026

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