MATHEW PETERSEN DDS PC NPI 1457886913

NPI Information

  • NPI: 1457886913
  • Provider Name: MATHEW PETERSEN DDS PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: LAS CRUCES DENTAL SOLUTIONS
  • Address: 2001 E. LOHMAN AVE. SUITE 121
    LAS CRUCES, NM
    ZIP 88001
  • Phone: (575) 527-4746

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NPI Details

MATHEW PETERSEN DDS PC is a general practice dentist in Las Cruces, NM. The provider is 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. MATHEW PETERSEN DDS PC NPI is 1457886913. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Las Cruces Dental Solutions.

The provider's business location address is:

2001 E. LOHMAN AVE. SUITE 121
LAS CRUCES, NM
ZIP 88001
Phone: (575) 527-4746

The provider's authorized official is Mathew Petersen .
The authorized official title is Ceo, Principal and has the following contact phone number (480) 233-6944.

The enumeration date for this NPI number is 4/21/2017 and was last updated on 4/21/2017.

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
11223G0001XDentistGeneral PracticeDD3330NEW MEXICOYes

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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