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

Dr. Grant Dee Petersen, DDS

Individual provider Dentist · NPI 1790031128

Dr. Grant Dee Petersen, DDS is a Dentist in Fort Wainwright, Alaska. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
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.

See every abbreviation used in this directory →

Practice location Address checks out

1060 Gaffney Rd Stop 7500
Fort Wainwright, AK 99703-5007
Phone: (907) 353-5530
Fax: (317) 361-5530
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN.00201800 (CO)

Record details

NPI number1790031128
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 3, 2012
Last updated in NPPESJuly 16, 2013
Mailing address1060 Gaffney Rd Stop 7500, Fort Wainwright, AK 99703-5007

Other providers in Fort Wainwright