Dr. Chad William Petersen
DDS | Oral and Maxillofacial Surgeon
6238 Yellowstone Rd, Cheyenne
Wyoming, 82009-3432
307-635-6940 307-635-2839
Maps & DirectionsDr. Chad William Petersen is a Cheyenne, Wyoming based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Chad William Petersen is
1436 for Oral and Maxillofacial Surgery in Wyoming. His current practice location is
6238 Yellowstone Rd, Cheyenne. Patients can reach him at
307-635-6940.
Dr. Chad William Petersen deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Chad William 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. Chad William Petersen |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 6238 Yellowstone Rd, Cheyenne,
Wyoming, 82009-3432 |
| Phone: | 307-635-6940 |
| Fax: | 307-635-2839 |
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: | 1336582212 |
| NPI Enumeration Date: | 10 Apr, 2013 |
| NPI Last Update On: | 12 Dec, 2020 |
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. Chad William Petersen are as mentioned below.
| License Number | Specialization | State | Status | |
| 1436 | Oral and Maxillofacial Surgery | Wyoming | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Chad William Petersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 145967800 | Medicaid | Wyoming | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6238 Yellowstone Rd,
Cheyenne, Wyoming |
| Zip: | 82009-3432 |
| Phone Number: | 307-635-6940 |
| Fax Number: | 307-635-2839 |
Patients can reach Dr. Chad William Petersen at
6238 Yellowstone Rd, Cheyenne, Wyoming or can
call to book an appointment on 307-635-6940.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.