Petersen Dental Llc

LBN: Petersen Dental Llc
Petersen Dental Llc is an health care organization with primary practice located at 10458 S Redwood Rd , South Jordan UT 84095-8501. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Petersen Dental Llc can be contacted via phone (801) 302-8989, or through Petersen, Luke via phone (801) 302-8989.

Contact Information

Primary practice address
10458 S Redwood Rd South Jordan UT 84095-8501
Phone: (801) 302-8989
Fax: (801) 302-8989
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Luke Doctor of Dental Surgery (DDS)
Phone: (801) 302-8989

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7702761-99021 Utah

Profile Details

NPI number 1417315656
LBN Legal business name Petersen Dental Llc
DBA Doing business as
Authorized official Petersen, Luke Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2016
Last updated Feb 2nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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