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

Dr. Riley Michael Richard Petersen, DDS

Individual provider General Practice Dentistry · NPI 1093640336

Dr. Riley Michael Richard Petersen, DDS is a General Practice Dentistry in Longmont, Colorado. Licensed in Colorado. Registered with an NPI since 2026.

Licensed in
CO
In the registry since
2026
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

1818 Mountain View Ave
Longmont, CO 80501-3253
Phone: (970) 239-1514
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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 00206726 (CO)

Record details

NPI number1093640336
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 17, 2026
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

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