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

Dr. Paul Frederick Peterson, DDS

Individual provider Dentist · NPI 1902927023

Dr. Paul Frederick Peterson, DDS is a Dentist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
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

4809 N Pennsylvania St
Indianapolis, IN 46205-1743
Phone: (317) 283-5300
Fax: (317) 926-6587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12008324A (IN)

Record details

NPI number1902927023
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4809 N Pennsylvania St, Indianapolis, IN 46205-1743

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