Individual provider · Type 1 NPI

Elisabeth M. Peterson, DDS

Oral and Maxillofacial Surgery (Dentist) · St. Paul, MN

NPI number 1508094244 Active

Practice location

2500 Como Avenue
St. Paul, MN 55108-1460

Call (651) 999-4600 Map

Fax (651) 632-8984

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD12105 (MN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1508094244

Elisabeth M. Peterson, DDS's National Provider Identifier is 1508094244, issued on Jul 1, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Paul, MN. The record was last updated on Mar 30, 2012.