OrganizationActive
Dr. Tyson Peteresn
NPI 1972121770 · Dental Clinic/Center · Logan, UT
Dr. Tyson Peteresn is a Dental Clinic/Center organization in Logan, UT (NPI 1972121770).
Provider details
- NPI number
- 1972121770
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tyson Petersen, Dr(435) 752-0300
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
110 E 200 N
Logan, UT 84321-4007
Phone: (435) 752-0300
Fax: (435) 755-7625
Street-level locationGet directions
Mailing address
110 E 200 N
Logan, UT 84321-4007
Registry dates
- Enumerated
- 2020-07-08
- Last updated
- 2020-07-08
- Certified
- 2020-07-08
Frequently asked questions
- What is Dr. Tyson Peteresn's NPI number?
- Dr. Tyson Peteresn's National Provider Identifier (NPI) is 1972121770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Tyson Peteresn?
- Dr. Tyson Peteresn is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dr. Tyson Peteresn located?
- Dr. Tyson Peteresn's practice location on file with NPPES is 110 E 200 N, Logan, UT 84321-4007.
- What is Dr. Tyson Peteresn's phone number?
- The practice phone number listed in the NPPES registry for Dr. Tyson Peteresn is (435) 752-0300.
- Who is the authorized official for Dr. Tyson Peteresn?
- The authorized official listed on Dr. Tyson Peteresn's NPPES record is Tyson Petersen, Dr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Tyson Peteresn's NPI active?
- Yes — Dr. Tyson Peteresn's NPI (1972121770) is active in the NPPES registry as of the last update on 2020-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.