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Dr. Matthew J Peterson, DDS
General Practice Dentistry in Cambridge, Minnesota
NPI 1902993629

Matthew J Peterson is a General Practice Dentistry based in Cambridge, MN and is specialized in General Practice. Matthew J Peterson practices in Cambridge, MN and has the professional credentials of DDS. The NPI Number for Matthew J Peterson is 1902993629 and holds a License No. 11782 (Minnesota).

The current practice location address for Matthew J Peterson is 135 Opportunity S Blvd, Cambridge, MN and can be reached out via phone at 763-689-1554.

Location: 135 Opportunity S Blvd, Cambridge, MN, 55008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902993629
Provider Name
Matthew J Peterson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
135 Opportunity S Blvd, Cambridge, MN, 55008
Phone Number
763-689-1554
Fax Number
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20-2797371 01 MN FED TAX ID #
307G4CA 01 MN BLUE CROSS BLUE SHIELD
7845201 01 MN MN TAX ID #
institution
Provider Business Practice Location Address Details
Address
135 Opportunity S Blvd
City
Cambridge
State
Minnesota
Zip
55008
Phone Number
763-689-1554
Fax Number
person
Provider Business Mailing Address Details
Address
135 Opportunity S Blvd
City
Cambridge
State
Minnesota
Zip
55008
Phone Number
763-689-1554
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11782 (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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