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

Dr. Michelle Lynn Petersen, DDS

Individual provider General Practice Dentistry · NPI 1063488047

Dr. Michelle Lynn Petersen, DDS is a General Practice Dentistry in Prairie Village, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
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

8010 State Line Rd Ste 210
Prairie Village, KS 66208-3710
Phone: (913) 341-2200
Fax: (913) 648-7605
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5735 (KS)

Record details

NPI number1063488047
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESJuly 13, 2026

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