Dr Brady Todd Petersen, DMD, MS - Dentist in Las Vegas, NV

Dr Brady Todd Petersen, DMD, MS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Las Vegas, Nevada. Dr Brady Todd Petersen is licensed to practice in Nevada (license number S3-366) and his current practice location is 6425 S Durango Dr Ste 120, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at (702) 757-5355.

NPI number for Dr Brady Todd Petersen is 1003346917 and his current mailing address is 6425 S Durango Dr Ste 120, Las Vegas, Nevada. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003346917.

Contact Information

Dr Brady Todd Petersen, DMD, MS
6425 S Durango Dr Ste 120,
Las Vegas, NV 89113-7113
(702) 757-5355
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Brady Todd Petersen
GenderMale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location6425 S Durango Dr Ste 120, Las Vegas, Nevada
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003346917
  • Provider Enumeration Date: 06/13/2017
  • Last Update Date: 04/30/2024

Medical Identifiers

Medical identifiers for Dr Brady Todd Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003346917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics S3-366 (Nevada)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brady Todd Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Brady Todd Petersen, DMD, MS
6425 S Durango Dr Ste 120,
Las Vegas, NV 89113-7113

Ph: (702) 757-5355
Dr Brady Todd Petersen, DMD, MS
6425 S Durango Dr Ste 120,
Las Vegas, NV 89113-7113

Ph: (702) 757-5355

Reviews and Comments


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