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PETERSON & PETERSON DDS PA NPI 1013988765


NPI Information

NPI: 1013988765
Provider Name: PETERSON & PETERSON DDS PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1224 ARCADE ST
SAINT PAUL, MN
ZIP 55106
Phone: (651) 774-2959
Get Directions

PETERSON & PETERSON DDS PA is a general practice dentist in Saint Paul, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PETERSON & PETERSON DDS PA NPI is 1013988765. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1224 ARCADE ST
SAINT PAUL, MN
ZIP 55106-021
Phone: (651) 774-2959
Fax: (651) 774-1997

The provider's authorized official is Vacharee Sriswad Peterson .
The authorized official title is President and has the following contact phone number (651) 774-2959.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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