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

Chase Petersen, DMD

Individual provider General Practice Dentistry · NPI 1811819022

Chase Petersen, DMD is a General Practice Dentistry in Moses Lake, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

605 S Coolidge St
Moses Lake, WA 98837-1873
Phone: (509) 765-0674
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DENT.DE.70139556 (WA)

Record details

NPI number1811819022
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address23864 N 162nd Ln, Surprise, AZ 85387-1735

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