Individual provider · Type 1 NPI

Michael James Petersen, DDS

General Practice Dentistry · Roseville, MN

NPI number 1407902307 Active

Practice location

3101 Old Highway 8, Suite #303
Roseville, MN 55113-1072

Call (651) 636-0840 Map

Fax (651) 633-1760

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X9923 (MN)

General Practice Dentistry: 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.

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About NPI 1407902307

Michael James Petersen, DDS's National Provider Identifier is 1407902307, issued on Jan 25, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Roseville, MN. The record was last updated on Jul 8, 2007.