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

Lacy Petersen, DMD

Individual provider Dentist · NPI 1780254441

Lacy Petersen, DMD is a Dentist in Ocala, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1705 SE 28th Loop
Ocala, FL 34471-1079
Phone: (352) 351-4412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN26148 (FL)

Record details

NPI number1780254441
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 25, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address2315 Se 14th St, Ocala, FL 34471-2644

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