MATTHEW J PETERSON DDS PA NPI 1366539082

NPI Information

NPI: 1366539082
Provider Name: MATTHEW J PETERSON, DDS, PA
Classification: Clinic/Center - 261QD0000X
Specialization: Dental
Entity Type: Organization
Doing Business As: CAMBRIDGE DENTAL CENTER
Address: 124 1ST AVE E
CAMBRIDGE, MN
ZIP 55008
Phone: (763) 689-1554

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NPI Details

MATTHEW J PETERSON, DDS, PA is a dental clinic center in Cambridge, MN. MATTHEW J PETERSON, DDS, PA NPI is 1366539082. The provider is registered as an organization entity type.
The provider Is Doing Business As Cambridge Dental Center.

The provider's business location address is:

124 1ST AVE E
CAMBRIDGE, MN
ZIP 55008-209
Phone: (763) 689-1554

The provider's authorized official is Matthew J Peterson .
The authorized official title is President and has the following contact phone number (763) 689-1554.

The enumeration date for this NPI number is 10/6/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	11782	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	307G4CA	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	7845201	OTHER	MINNESOTA	MN TAX ID #

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: 11/21/2025

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