JULIAN PETERSEN DDS PLLC NPI 1316613193

NPI Information

  • NPI: 1316613193
  • Provider Name: JULIAN PETERSEN DDS PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: SMART DENTAL
  • Address: 3200 DUPORTAIL ST STE 105
    RICHLAND, WA
    ZIP 99352
  • Phone: (509) 492-2051

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NPI Details

JULIAN PETERSEN DDS PLLC is a dental clinic center in Richland, WA. JULIAN PETERSEN DDS PLLC NPI is 1316613193. The provider is registered as an organization entity type.
The provider Is Doing Business As Smart Dental.

The provider's business location address is:

3200 DUPORTAIL ST STE 105
RICHLAND, WA
ZIP 99352-105
Phone: (509) 492-2051

The provider's authorized official is Julian F Petersen .
The authorized official title is Dentist/proprietor and has the following contact phone number (925) 548-5936.

The enumeration date for this NPI number is 8/20/2021 and was last updated on 1/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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