MEDICARE: CHRISTIAN D PETERSEN DDS, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	7312	NE

General Provider Information

NPI Number	:	1477006047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN D PETERSEN DDS, MS

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR BLDG 7500
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4613
Country	:	US
Telephone Number	:	719-526-6899
Fax Number	:

Provider Business Practice Location Address
First Line	:	2280 HOGAN ST BLDG 1855
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4408
Country	:	US
Telephone Number	:	719-526-6899
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2016
Last Update Date	:	02/04/2026

Similar Medicare Providers

1134322993 — EVANS ARMY COMMUNITY HOSPITAL
Practice Location Address:

2280 HOGAN ST
FORT CARSON, CO
80913-4408

Practice Phone: 719-526-5400
Practice Fax:

1629524848 — HEUNG YOO
Practice Location Address:

2280 HOGAN ST BLDG 1885
FORT CARSON, CO
80913-4408

Practice Phone: 571-231-6004
Practice Fax:

1922982586 — NICOLE EUNHAE LIM DDS
Practice Location Address:

2280 HOGAN ST BLDG 1885
FORT CARSON, CO
80913-4408

Practice Phone: 719-526-5400
Practice Fax:

1184508749 — JENNIFER BANG TRINH NGUYEN DMD
Practice Location Address:

2280 HOGAN ST BLDG 1855
FORT CARSON, CO
80913-4408

Practice Phone: 719-526-5400
Practice Fax:

1659260305 — JOHNATHAN KOHLES DDS
Practice Location Address:

2280 HOGAN ST
COLORADO SPRINGS, CO
80913-4408

Practice Phone: 719-526-5400
Practice Fax:

1518952811 — ROBERT CARL ENGUIDANOS M.D.
Practice Location Address:

2637 MIDPOINT DR STE B
FORT COLLINS, CO
80525-4408

Practice Phone: 970-488-1666
Practice Fax:

Directions to “ CHRISTIAN D PETERSEN DDS, MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.