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Peterson Dental Associates, P.a.
Dental Assistant in St Cloud, Minnesota
NPI 1396856100

Peterson Dental Associates, P.a. is a Dental Assistant based in St Cloud, MN. Peterson Dental Associates, P.a. practices in St Cloud, MN. The NPI Number for Peterson Dental Associates, P.a. is 1396856100 and holds a License No. (Minnesota).

The current practice location address for Peterson Dental Associates, P.a. is 816 W St Germain St #101, St Cloud, MN and can be reached out via phone at 320-252-2454 and via fax at 320-252-2232.

Location: 816 W St Germain St #101, St Cloud, MN, 56301-3511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396856100
Provider Name
Peterson Dental Associates, P.a.
Credential
Provider Entity Type
Organization
Address
816 W St Germain St #101, St Cloud, MN, 56301-3511
Phone Number
320-252-2454
Fax Number
320-252-2232
Provider Enumeration Date
08/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
398350100 05 MN
institution
Provider Business Practice Location Address Details
Address
816 W St Germain St #101
City
St Cloud
State
Minnesota
Zip
56301-3511
Phone Number
320-252-2454
Fax Number
320-252-2232
person
Provider Business Mailing Address Details
Address
816 W St Germain St #101
City
St Cloud
State
Minnesota
Zip
56301-3511
Phone Number
320-252-2454
Fax Number
320-252-2232
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
()
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dental Assistant
Speciality
-
Taxonomy
126800000X
License No.
()
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
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