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Dr. Tyson Don Petersen, DDS
General Practice Dentistry in Logan, Utah
NPI 1457806457

Tyson Don Petersen is a General Practice Dentistry based in Smithfield, UT and is specialized in General Practice. Tyson Don Petersen practices in Logan, UT and has the professional credentials of DDS. The NPI Number for Tyson Don Petersen is 1457806457 and holds a License No. 4774 (Utah).

The current practice location address for Tyson Don Petersen is 1260 N 200 E, Logan, UT and can be reached out via phone at 435-752-8000.

Location: 1260 N 200 E, Logan, UT, 84335-1325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457806457
Provider Name
Tyson Don Petersen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1260 N 200 E, Logan, UT, 84335-1325
Phone Number
435-752-8000
Fax Number
Provider Enumeration Date
08/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1260 N 200 E
City
Logan
State
Utah
Zip
84341-7560
Phone Number
435-752-8000
Fax Number
person
Provider Business Mailing Address Details
Address
1260 N 200 E
City
Logan
State
Utah
Zip
84341-7560
Phone Number
435-752-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4774 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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