person
Dr. Douglas George Petersen, DDS
Periodontist in Edina, Minnesota
NPI 1134208630

Douglas George Petersen is a Periodontist based in Edina, MN and is specialized in Periodontics. Douglas George Petersen practices in Edina, MN and has the professional credentials of DDS. The NPI Number for Douglas George Petersen is 1134208630 and holds a License No. D10423 (Minnesota).

The current practice location address for Douglas George Petersen is 6545 France Ave S, Edina, MN and can be reached out via phone at 952-926-2763.

Location: 6545 France Ave S, Edina, MN, 55435-2131
person
Provider Profile Details
NPI Number
1134208630
Provider Name
Douglas George Petersen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6545 France Ave S, Edina, MN, 55435-2131
Phone Number
952-926-2763
Fax Number
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6545 France Ave S
City
State
Zip
55435-2131
Phone Number
952-926-2763
Fax Number
person
Provider Business Mailing Address Details
Address
6545 France Ave S
City
State
Zip
55435-2131
Phone Number
952-926-2763
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
D10423 (Minnesota)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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