Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA PETERSON, DDS
ActiveJESSICA PETERSON, DDS is a Dentist healthcare provider located in NISSWA, Minnesota. NPI 1003546128 is currently active in the NPPES registry. Verify at CMS.
Dentist · NISSWA, MN
Registration Details
- NPI Number
- 1003546128
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2022 (4.1610175714278 yrs)
- Last Updated
- Jun 13, 2022
- License
-
D14758 (MN)
Practice Information
- Address
-
25477 MAIN ST # PO454NISSWA, MN, 564685001Browse MN providers · Browse ZIP 56468
- Phone
- 2189636330
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in NISSWA, MN
| Name | Credential | NPI |
|---|---|---|
| DR. LUKE E. WALN | DDS | 1740263094 |
| CRAIG BRIAN JOHNSON | DDS | 1588764856 |
| CHRISTOPHER GORDON KLABO | D.D.S. | 1871852392 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.