person
Dr. Michael James Petersen, DDS
General Practice Dentistry in Roseville, Minnesota
NPI 1407902307

Michael James Petersen is a General Practice Dentistry based in Roseville, MN and is specialized in General Practice. Michael James Petersen practices in Roseville, MN and has the professional credentials of DDS. The NPI Number for Michael James Petersen is 1407902307 and holds a License No. 9923 (Minnesota).

The current practice location address for Michael James Petersen is 3101 Old Highway 8, Roseville, MN and can be reached out via phone at 651-636-0840 and via fax at 651-633-1760.

Location: 3101 Old Highway 8, Roseville, MN, 55113-1072
person
Provider Profile Details
NPI Number
1407902307
Provider Name
Michael James Petersen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3101 Old Highway 8, Roseville, MN, 55113-1072
Phone Number
651-636-0840
Fax Number
651-633-1760
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
(NEED TYPE 2 # ALSO) 01 MN (INCORPORATED)HAVE IND.#
institution
Provider Business Practice Location Address Details
Address
3101 Old Highway 8
City
State
Zip
55113-1072
Phone Number
651-636-0840
Fax Number
651-633-1760
person
Provider Business Mailing Address Details
Address
3101 Old Highway 8
City
State
Zip
55113-1072
Phone Number
651-636-0840
Fax Number
651-633-1760
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
9923 (Minnesota)
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.
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