Individual provider · Type 1 NPI

Russell Thomas Peterson, DDS

Dentist · St. Cloud, MN

NPI number 1457513616 Active

Practice location

816 W Saint Germain St, Suite 101
St. Cloud, MN 56301-4502

Fax (320) 252-2232

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD12530 (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…

Another provider at this address

Other dentist providers in St. Cloud

See all in St. Cloud →

About NPI 1457513616

Russell Thomas Peterson, DDS's National Provider Identifier is 1457513616, issued on Jun 30, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Cloud, MN. The record was last updated on May 14, 2009.