DR. Chad William Petersen, DDS is an oral and maxillofacial surgery dentist in Cheyenne, WY. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Chad William Petersen, DDS NPI is 1336582212. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6238 YELLOWSTONE RD
CHEYENNE, WY
ZIP 82009-432
Phone: (307) 635-6940
Fax: (307) 635-2839
The NPI 1336582212 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/10/2013 and was last updated on 12/12/2020.