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

Dr. Katherine R. Petersen, DMD

Individual provider Dentist · NPI 1992996946

Dr. Katherine R. Petersen, DMD is a Dentist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

10230 Berkeley Place Dr Ste 200
Charlotte, NC 28262-1203
Phone: (704) 688-7588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10553 (NC)

Record details

NPI number1992996946
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 6, 2007
Last updated in NPPESMarch 2, 2021
Certification dateFebruary 2, 2021

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