OrganizationActive
Petersen Dental LLC
NPI 1417315656 · Dentist · South Jordan, UT
Petersen Dental LLC is a Dentist organization in South Jordan, UT (NPI 1417315656).
Provider details
- NPI number
- 1417315656
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Luke Petersen, Owner(801) 302-8989
- License
- 7702761-99021 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10458 S Redwood Rd
South Jordan, UT 84095-8501
Phone: (801) 302-8989
Fax: (801) 302-8989
Street-level locationGet directions
Mailing address
10458 S Redwood Rd
South Jordan, UT 84095-8501
Registry dates
- Enumerated
- 2016-02-02
- Last updated
- 2016-02-02
Frequently asked questions
- What is Petersen Dental LLC's NPI number?
- Petersen Dental LLC's National Provider Identifier (NPI) is 1417315656, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petersen Dental LLC?
- Petersen Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Petersen Dental LLC located?
- Petersen Dental LLC's practice location on file with NPPES is 10458 S Redwood Rd, South Jordan, UT 84095-8501.
- What is Petersen Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Petersen Dental LLC is (801) 302-8989.
- Who is the authorized official for Petersen Dental LLC?
- The authorized official listed on Petersen Dental LLC's NPPES record is Luke Petersen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petersen Dental LLC's NPI active?
- Yes — Petersen Dental LLC's NPI (1417315656) is active in the NPPES registry as of the last update on 2016-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.