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Nicholas Petersen, DDS
NPI 1912790965 · General Practice Dentistry · Provo, UT
Nicholas Petersen, DDS is a General Practice Dentistry provider in Provo, UT (NPI 1912790965).
Provider details
- NPI number
- 1912790965
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14223904-9926 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1234 N 900 E Ste 100
Provo, UT 84604-2726
Phone: (801) 854-9140
Street-level locationGet directions
Mailing address
1573 W Morning View Way
Lehi, UT 84043-7733
Registry dates
- Enumerated
- 2025-05-23
- Last updated
- 2025-05-23
- Certified
- 2025-05-23
Frequently asked questions
- What is Nicholas Petersen's NPI number?
- Nicholas Petersen's National Provider Identifier (NPI) is 1912790965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Petersen's specialty?
- Nicholas Petersen is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Nicholas Petersen located?
- Nicholas Petersen's practice location on file with NPPES is 1234 N 900 E Ste 100, Provo, UT 84604-2726.
- What is Nicholas Petersen's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Petersen is (801) 854-9140.
- Is Nicholas Petersen's NPI active?
- Yes — Nicholas Petersen's NPI (1912790965) is active in the NPPES registry as of the last update on 2025-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.