IndividualActive
Dale Peterson, D.D.S.
NPI 1164552048 · Dentist · Lander, WY
Provider details
- NPI number
- 1164552048
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 588 (WY)
Specialties & taxonomies
Dental Providers
Practice location
555 S 5th St
Lander, WY 82520-3245
Phone: (307) 332-9193
Approximate (ZIP-level) locationGet directions
Mailing address
555 S 5th St
Lander, WY 82520-3245
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.