Individual provider · Type 1 NPI

Vacharee Sriswad Peterson

Dentist · St. Paul, MN

NPI number 1184694408 Active

Practice location

828 Hawthorne St E
St. Paul, MN 55106-3252

Call (651) 774-2959 Map

Mailing address

1184 Orange Ave E
St. Paul, MN 55106-2075

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD9309 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1184694408

Vacharee Sriswad Peterson's National Provider Identifier is 1184694408, issued on Jan 26, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 13, 2026.