Dr. Tyson Peteresn
Clinic/Center - Dental
About Dr. Tyson Peteresn
Dr. Tyson Peteresn is a healthcare organization providing Clinic/Center - Dental services, with specialized expertise in Dental, registered under National Provider Identifier (NPI) number 1972121770. The authorized official for Dr.
Tyson Peteresn is TYSON PETERSEN. The organization is headquartered at 110 E 200 N, Logan, Utah 84321. The main office can be reached at (435) 752-0300. Dr. Tyson Peteresn has been NPI-registered since 2020.
Locations & Contact
Primary Location
- Address
- 110 E 200 N
- City
- Logan
- State
- Utah
- ZIP
- 84321-4007
- Phone
- (435) 752-0300
- Fax
- (435) 755-7625
Authorized Official
- Name
- TYSON PETERSEN
Mailing Address
- Address
- 110 E 200 N
- City
- LOGAN
- State
- UT
- ZIP
- 843214007
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Clinic/Center - Dental
- Classification
- Clinic/Center
- Specialization
- Dental
- Taxonomy Code
- 261QD0000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Dr. Tyson Peteresn's NPI number?
What does Dr. Tyson Peteresn specialize in?
Where is Dr. Tyson Peteresn located?
Does Dr. Tyson Peteresn accept Medicare?
Does Dr. Tyson Peteresn offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Dr. Tyson Peteresn holds NPI 1972121770, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.