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

Jacob Dean Peterson, DDS

Individual provider Dentist · NPI 1407613425

Jacob Dean Peterson, DDS is a Dentist in Casper, Wyoming. Licensed in Wyoming. Registered with an NPI since 2024.

Licensed in
WY
In the registry since
2024
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

5000 Blackmore Rd
Casper, WY 82609-3345
Phone: (307) 233-6000
Fax: (307) 233-6019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1679 (WY)

Record details

NPI number1407613425
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 5, 2024
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address5000 Blackmore Rd, Casper, WY 82609-3345

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