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

Dr. Chad William Petersen, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1336582212

Dr. Chad William Petersen, DDS is an Oral and Maxillofacial Surgery (Dentist) in Cheyenne, Wyoming. Licensed in Wyoming. Registered with an NPI since 2013.

Licensed in
WY
In the registry since
2013
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.

See every abbreviation used in this directory →

Practice location Address checks out

6238 Yellowstone Rd
Cheyenne, WY 82009-3432
Phone: (307) 635-6940
Fax: (307) 635-2839
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 1436 (WY)

Record details

NPI number1336582212
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 10, 2013
Last updated in NPPESDecember 12, 2020
Certification dateDecember 12, 2020
Mailing address6238 Yellowstone Rd, Cheyenne, WY 82009-3432

Other providers in Cheyenne