Dr. Byron Thad Petersen is a Salt Lake City, Utah based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Byron Thad Petersen is 135438-9923 for General Practice Dentistry in Utah. His current practice location is George E Wahlen Dept Of Veterans Affairs Medical Ctr, 500 Foothill Drive, Dental Service (160), Salt Lake City. Patients can reach him at 801-584-1206.
Dr. Byron Thad Petersen is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Byron Thad Petersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Byron Thad Petersen
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
George E Wahlen Dept Of Veterans Affairs Medical Ctr, 500 Foothill Drive, Dental Service (160), Salt Lake City, Utah, 84148-0001
Phone:
801-584-1206
Fax:
801-584-1251
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1477566198
NPI Enumeration Date:
14 Aug, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Byron Thad Petersen are as mentioned below.
License Number
Specialization
State
Status
135438-9923
General Practice Dentistry
Utah
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2162 E. Creek Road, Sandy, Utah
Zip:
84093-6448
Phone Number:
801-942-2631
Patients can reach Dr. Byron Thad Petersen at George E Wahlen Dept Of Veterans Affairs Medical Ctr, 500 Foothill Drive, Dental Service (160), Salt Lake City, Utah or can call to book an appointment on 801-584-1206. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.