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

Dr. Kirk Petersen, DDS

Individual provider General Practice Dentistry · NPI 1598980351

Dr. Kirk Petersen, DDS is a General Practice Dentistry in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
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

22833 Bothell Everett Hwy Ste 205
Bothell, WA 98021-9385
Phone: (425) 485-6540
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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 5471 (WA)

Record details

NPI number1598980351
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address20023 10th Ave Nw, Shoreline, WA 98177-2110

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