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Dr. Troy R Petersen, DMDMD
Oral and Maxillofacial Surgery (Dentist) in Grand Forks, North Dakota
NPI 1073697157

Troy R Petersen is a Oral and Maxillofacial Surgery (Dentist) based in Grand Forks, ND and is specialized in Oral and Maxillofacial Surgery. Troy R Petersen practices in Grand Forks, ND and has the professional credentials of DMDMD. The NPI Number for Troy R Petersen is 1073697157 and holds a License No. 1897 (North Dakota).

The current practice location address for Troy R Petersen is 1165C South Columbia Road, Grand Forks, ND and can be reached out via phone at 701-772-7379 and via fax at 701-772-9643.

Location: 1165C South Columbia Road, Grand Forks, ND, 58201-4007
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Provider Profile Details
NPI Number
1073697157
Provider Name
Troy R Petersen
Credential
DMDMD
Provider Entity Type
Individual
Gender
Male
Address
1165C South Columbia Road, Grand Forks, ND, 58201-4007
Phone Number
701-772-7379
Fax Number
701-772-9643
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12975 05 ND
252L7PE 01 MN BCBS
institution
Provider Business Practice Location Address Details
Address
1165C South Columbia Road
City
State
Zip
58201-4007
Phone Number
701-772-7379
Fax Number
701-772-9643
person
Provider Business Mailing Address Details
Address
1165C South Columbia Road
City
State
Zip
58201-4007
Phone Number
701-772-7379
Fax Number
701-772-9643
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
1897 (North Dakota)
Definition
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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