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

Dr. Michael Dee Petersen, DDS

Individual provider General Practice Dentistry · NPI 1629078704

Dr. Michael Dee Petersen, DDS is a General Practice Dentistry in Parker, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2005
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

10219 Parkglenn Way Ste 200
Parker, CO 80138
Phone: (303) 840-2920
Fax: (303) 805-2905
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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 6756 (CO)

Record details

NPI number1629078704
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 29, 2005
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address10219 Parkglenn Way, Ste 200, Parker, CO 80138

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