Chase Petersen, DMD

General Practice Dentistry · Moses Lake, WA

Individual Active NPI

NPI number 1811819022

Practice location

605 S Coolidge St
Moses Lake, WA 98837-1873
Phone
(509) 765-0674

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NPI record

NPI
1811819022
Entity type
Individual (Type 1)
Enumeration date
July 28, 2026
Last updated
July 28, 2026
Certified
July 28, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DENT.DE.70139556 WA

Mailing address

23864 N 162ND Ln
Surprise, AZ 85387-1735

About Dr. Petersen

Chase Petersen, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 605 S Coolidge St, Moses Lake, WA 98837-1873. The NPI number 1811819022 was assigned on July 28, 2026 and the record was last updated on July 28, 2026.

Dr. Petersen lists a license in the registry: #DENT.DE.70139556 (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 Chase Petersen, DMD?

The NPI number is 1811819022.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (509) 765-0674.

Where is Dr. Petersen located?

605 S Coolidge St, Moses Lake, WA 98837-1873.

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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