Kirk Petersen, D.D.S.

General Practice Dentistry · Bothell, WA

Individual Active NPI

NPI number 1598980351

Practice location

22833 Bothell Everett Hwy
Suite 205
Bothell, WA 98021-9385
Phone
(425) 485-6540

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NPI record

NPI
1598980351
Entity type
Individual (Type 1)
Enumeration date
April 16, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5471 WA

Mailing address

20023 10TH Ave NW
Shoreline, WA 98177-2110
Phone
(206) 963-3175

About Dr. Petersen

Kirk Petersen, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 22833 Bothell Everett Hwy, Suite 205, Bothell, WA 98021-9385. The NPI number 1598980351 was assigned on April 16, 2007 and the record was last updated on July 8, 2007.

Dr. Petersen lists a license in the registry: #5471 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kirk Petersen, D.D.S.?

The NPI number is 1598980351.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (425) 485-6540.

Where is Dr. Petersen located?

22833 Bothell Everett Hwy, Suite 205, Bothell, WA 98021-9385.

What is the taxonomy code for Dr. Petersen?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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