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

Nicholas Dee Petersen, DDS

Individual provider General Practice Dentistry · NPI 1912790965

Nicholas Dee Petersen, DDS is a General Practice Dentistry in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2025
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

1234 N 900 E Ste 100
Provo, UT 84604-2726
Phone: (801) 854-9140
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 14223904-9926 (UT)

Record details

NPI number1912790965
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address1573 W Morning View Way, Lehi, UT 84043-7733

Other providers in Provo