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

Dr. Derek Gene Petersen, DDS

Individual provider General Practice Dentistry · NPI 1487887451

Dr. Derek Gene Petersen, DDS is a General Practice Dentistry in Broomfield, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2009
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

3303 W 144th Ave Unit 100
Broomfield, CO 80023-9464
Phone: (720) 308-9798
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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 9978 (CO)

Record details

NPI number1487887451
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 25, 2009
Last updated in NPPESFebruary 5, 2014
Mailing address3303 W 144th Ave Unit 100, Broomfield, CO 80023-9464

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