Dr Chad William Petersen, DDS - Dentist in Cheyenne, WY

Dr Chad William Petersen, DDS is a Dentist - Oral And Maxillofacial Surgery based in Cheyenne, Wyoming. Dr Chad William Petersen is licensed to practice in Wyoming (license number 1436) and his current practice location is 6238 Yellowstone Rd, Cheyenne, Wyoming. He can be reached at his office (for appointments etc.) via phone at (307) 635-6940.

NPI number for Dr Chad William Petersen is 1336582212 and his current mailing address is 6238 Yellowstone Rd, Cheyenne, Wyoming. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336582212.

Contact Information

Dr Chad William Petersen, DDS
6238 Yellowstone Rd,
Cheyenne, WY 82009-3432
(307) 635-6940
(307) 635-2839

Map and Direction




Healthcare Provider's Profile

Full NameDr Chad William Petersen
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location6238 Yellowstone Rd, Cheyenne, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336582212
  • Provider Enumeration Date: 04/10/2013
  • Last Update Date: 12/12/2020

Medical Identifiers

Medical identifiers for Dr Chad William Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336582212NPI-NPPES
145967800MedicaidWY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 1436 (Wyoming)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 Chad William 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 Chad William Petersen, DDS
6238 Yellowstone Rd,
Cheyenne, WY 82009-3432

Ph: (307) 635-6940
Dr Chad William Petersen, DDS
6238 Yellowstone Rd,
Cheyenne, WY 82009-3432

Ph: (307) 635-6940

Reviews and Comments


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