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

Nicholas Lee Peterson, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154113116

Nicholas Lee Peterson, DDS is a Student in an Organized Health Care Education/Training Program in Aurora, Colorado. Registered with an NPI since 2025.

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.

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Practice location Address checks out

13065 E 17th Ave
Aurora, CO 80045-2532
Phone: (303) 724-6941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154113116
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

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