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Dr. Chad William Petersen, DDS
Oral and Maxillofacial Surgery (Dentist) in Cheyenne, Wyoming
NPI 1336582212

Chad William Petersen is a Oral and Maxillofacial Surgery (Dentist) based in Cheyenne, WY and is specialized in Oral and Maxillofacial Surgery. Chad William Petersen practices in Cheyenne, WY and has the professional credentials of DDS. The NPI Number for Chad William Petersen is 1336582212 and holds a License No. 1436 (Wyoming).

The current practice location address for Chad William Petersen is 6238 Yellowstone Rd, Cheyenne, WY and can be reached out via phone at 307-635-6940 and via fax at 307-635-2839. You can also correspond with Chad William Petersen through the mailing address at 6238 YELLOWSTONE RD, CHEYENNE, WY - 82009-3432 (mailing address contact number: 307-635-6940).

Location: 6238 Yellowstone Rd, Cheyenne, WY, 82009-3432
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Provider Profile Details
NPI Number
1336582212
Provider Name
Chad William Petersen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6238 Yellowstone Rd, Cheyenne, WY, 82009-3432
Phone Number
307-635-6940
Fax Number
307-635-2839
Provider Enumeration Date
04/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
145967800 05 WY
institution
Provider Business Practice Location Address Details
Address
6238 Yellowstone Rd
City
State
Zip
82009-3432
Phone Number
307-635-6940
Fax Number
307-635-2839
person
Provider Business Mailing Address Details
Address
6238 Yellowstone Rd
City
State
Zip
82009-3432
Phone Number
307-635-6940
Fax Number
307-635-2839
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
1436 (Wyoming)
Definition
The specialty of dentistry which includes 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.
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