DR. Byron Thad Petersen, D.D.S. is a general practice dentist in Salt Lake City, UT. 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. DR. Byron Thad Petersen, D.D.S. NPI is 1477566198. 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:
GEORGE E WAHLEN DEPT OF VETERANS AFFAIRS MEDICAL CTR
500 FOOTHILL DRIVE, DENTAL SERVICE (160)
SALT LAKE CITY, UT
ZIP 84148-001
Phone: (801) 584-1206
Fax: (801) 584-1251
The enumeration date for this NPI number is 8/14/2006 and was last updated on 7/8/2007.