Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL THOMAS PETERSON, DDS
ActiveDR. RUSSELL THOMAS PETERSON, DDS is a Dentist healthcare provider located in SAINT CLOUD, Minnesota. NPI 1457513616 is currently active in the NPPES registry. Verify at CMS.
Dentist · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1457513616
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2008 (17.948860286989 yrs)
- Last Updated
- May 14, 2009
- License
-
D12530 (MN)
Practice Information
- Address
-
816 W SAINT GERMAIN STSUITE 101SAINT CLOUD, MN, 563014502Browse MN providers · Browse ZIP 56301
- Phone
- 3202522454
- Fax
- 3202522232
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in SAINT CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| ROBERT WM CONGDON | DMD | 1932152154 |
| DR. DONALD PATRICK NIERENGARTEN | DDS | 1578587754 |
| TIMOTHY DALE JACOBSON | D.D.S. | 1326113127 |
| DALE EVERETT JACOBSON | D.D.S. | 1356416135 |
| JAMES DAVID COLT | D.D.S. | 1649345430 |
| DR. FUNSHO AFOLUKE AKINLUYI | DDS | 1104200948 |
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.