NPI 1053935916

Michael J. Petersen, D.D.S., P.A.

Organisation Dental Clinic/Center Roseville, MN

Practice location

Address: 3101 Old Highway 8 STE 303, Roseville, MN 55113-1076
Phone: (651) 636-0840

Authorised official

Name: Michael J. Petersen
Title: Owner, Dentist
Phone: (651) 636-0840

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Minnesota →

Registry record

NPI: 1053935916
Entity type: Organization
NPI issued: 5 Jun 2020
Record last updated: 5 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.