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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DOUGLAS GEORGE PETERSEN, DDS

Active

DR. DOUGLAS GEORGE PETERSEN, DDS is a Periodontology healthcare provider located in EDINA, Minnesota. NPI 1134208630 is currently active in the NPPES registry. Verify at CMS.

Periodontology · EDINA, MN

Registration Details

NPI Number
1134208630
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2006 (19.749916856087 yrs)
Last Updated
Jul 8, 2007
License
D10423 (MN)

Practice Information

Address
6545 FRANCE AVE S
#366
EDINA, MN, 554352131
Browse MN providers · Browse ZIP 55435
Phone
9529262763
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in EDINA, MN

Name Credential NPI
DR. LARRY F WOLFF D.D.S., PH.D. 1629166350
DR. DONALD E. LAREAU D.D.S., M.S. 1861575946
DR. OENDER SOLAKOGLU D.D.S., M.S., PH.D. 1811058126
DR. JAMES R JENSEN D.D.S., M.D. 1780745091
DR. JONATHAN M JENKINS D.D.S., M.D. 1285795500
CARL L BANDT D.D.S., M.S.D. 1437273976
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.