SCOTT WILLIAM PETERSEN (NPI# 1295931046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295931046 |
| Entity Type | Individual |
| Full Name | SCOTT WILLIAM PETERSEN |
| Credential | DMD |
| Practice Address |
310 N 400 E Nephi UT 84648-1558 |
| Practice Telephone | 4356231916 |
| Practice Fax Number | 4356237137 |
| Mailing Fax Number | 4356237137 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6508547-9922 | UT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689640948 | Scott D. Petersen | Physician Assistant | 33300 Cleveland Clinic Blvd, Mail Code Avh4-143, Avon, OH 44011 | 2006-02-27 |
| 1922420082 | Scott Petersen | Counselor | 625 N Plaza Dr, Apache Junction, AZ 85120-5501 | 2014-01-09 |
| 1346561966 | Scott Petersen | Counselor | 757 S Main St, Springville, UT 84663-2452 | 2010-06-17 |
| 1710034251 | Scott J. Petersen | General Practice | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-01-05 |
| 1386758183 | Scott R Petersen | Social Worker | 2111 Champa St, Denver, CO 80205-2529 | 2006-08-18 |
| 1275574519 | Scott Martin Petersen | Obstetrics & Gynecology | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2006-06-09 |
| 1912986555 | Scott Richard Petersen | Surgery | 500 W Thomas Rd, Suite 400, Phoenix, AZ 85013-4224 | 2006-01-12 |
| Street Address |
310 N 400 E |
| City | NEPHI |
| State | UT |
| Zip Code | 84648-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003942335 | Douglas A Petersen | Dentist | 310 N 400 E, Nephi, UT 84648-1558 | 2007-02-23 |
| 1871709998 | Nelson L Jones | Dentist | 310 N 400 E, Nephi, UT 84648-1558 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912243825 | Cory Schow | Counselor | 525 West 200 North, Mona, UT 84648 | 2012-12-20 |
| 1609174739 | Ryan Brown | Counselor | 525 W. 200 N., Mona, UT 84648 | 2011-03-15 |
| 1194021501 | Daniel Kimball | Counselor | 525 W. 200 N., Mona, UT 84648 | 2011-02-02 |
| 1417260100 | Lucas Kane | Counselor | 525 W 200 N, Mona, UT 84648 | 2010-07-22 |
| 1720316714 | Emily Spencer Poff | Family Medicine | 48 West 1500 North, Nephi, UT 84648 | 2009-12-02 |
| 1801047550 | Marian Janis Nielson | Nurse Practitioner | 48 W. 1500 N., Nephi, UT 84648 | 2008-09-30 |
| 1841481157 | Mosaic | Community/Behavioral Health | 1470 N 200 W, Box 63, Nephi, UT 84648 | 2007-08-05 |
| 1265632939 | Blue Sage Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 580 West 1500 South, Manti, UT 84648 | 2007-07-20 |
| 1528277407 | Juab Co School District | Speech-Language Pathologist | 346 E 600 N, Nephi, UT 84648 | 2007-05-21 |
| 1710194154 | John Willmore | Physical Therapist | 48 West 1600 North, Nephi, UT 84648 | 2007-05-16 |
| Find all providers in zip 84648 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073632055 | Byron B Woodland | Dentist | 310 North 400 East, Nephi, UT 84648-1558 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625407 | Austin Keith Woodfield | Dentist | 1305 N Commerce Dr # 22, Saratoga Springs, UT 84045-5305 | 2020-09-29 |
| 1750992111 | Jennifer Lin Sorge | Dentist | 532 N Mallard Dr Unit A, Vineyard, UT 84059-6606 | 2020-08-11 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1679182612 | Liberty Mountain Dental LLC | Dentist | 6351 W 13400 S Ste 100, Herriman, UT 84096-5601 | 2020-07-27 |
| 1417575879 | Utah Family Dental Cottonwood Heights | Dentist | 7069 S Highland Dr Ste 200, Salt Lake City, UT 84121-3731 | 2020-07-10 |
| 1043838840 | Jordan Sanger | Dentist | 6770 S 900 E Ste 301, Midvale, UT 84047-1761 | 2020-07-08 |
| 1356969307 | Jacob Marlan Haslam | Dentist | 448 E 5350 S Ste C, Ogden, UT 84405-5415 | 2020-07-07 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1376167502 | Ashleigh Dearing | Dentist | 1652 N Blackhawk Dr, Saratoga Springs, UT 84045-5810 | 2020-06-03 |
| 1376167650 | Michael Roberts | Dentist | 7555 S Center View Ct Ste 201, West Jordan, UT 84084-1971 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.