David N Peterson, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7589 Issued in MN

Legal business name

DAVID N PETERSON, DDS PA

Practice address

22 2ND Ave S
Sauk Rapids, MN 56379-1408

Phone

(320) 252-7806

NPI assigned

Sep 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David N PetersonNPI 1487716783

Title

Owner

Phone

(320) 252-7806

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Norman Peterson, DDS

  • General Practice Dentistry
  • Sauk Rapids, MN
  • NPI 1487716783
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189814400000",
    "number": "1487840286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563790237",
            "telephone_number": "320-252-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 2ND AVE S",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791408",
            "telephone_number": "320-252-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID N PETERSON, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-15",
        "last_updated": "2007-09-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-252-7806",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hannah Kirsten Couette, PHARMD
• Counseling Resources of Central Minnesota, P.a.
• Kristina M Degiovanni, PHARMD
• Kayleen Dempsey
• Hamza Dhombe
• Tahlia Jo Dierkes
• Brandi Dotseth

• General Practice Dentistry in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.