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Dr. John Robert Petersen, DDS
General Practice Dentistry in Eagan, Minnesota
NPI 1508422411

John Robert Petersen is a General Practice Dentistry based in St Anthony, MN and is specialized in General Practice. John Robert Petersen practices in Eagan, MN and has the professional credentials of DDS. The NPI Number for John Robert Petersen is 1508422411 and holds a License No. D13993 (Minnesota).

The current practice location address for John Robert Petersen is 4555 Erin Dr, Eagan, MN and can be reached out via phone at 651-681-9044 and via fax at 651-681-0599. You can also correspond with John Robert Petersen through the mailing address at 3200 HILLDALE AVE NE, ST ANTHONY, MN - 55418-2502 (mailing address contact number: 612-790-3615).

Location: 4555 Erin Dr, Eagan, MN, 55418-2502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508422411
Provider Name
John Robert Petersen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4555 Erin Dr, Eagan, MN, 55418-2502
Phone Number
651-681-9044
Fax Number
651-681-0599
Provider Enumeration Date
05/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4555 Erin Dr
City
Eagan
State
Minnesota
Zip
55122-3398
Phone Number
651-681-9044
Fax Number
651-681-0599
person
Provider Business Mailing Address Details
Address
4555 Erin Dr
City
Eagan
State
Minnesota
Zip
55122-3398
Phone Number
651-681-9044
Fax Number
651-681-0599
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D13993 (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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