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

DR. JOHN ROBERT PETERSEN, DDS

Active

DR. JOHN ROBERT PETERSEN, DDS is a General Dentistry healthcare provider located in EAGAN, Minnesota. NPI 1508422411 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · EAGAN, MN

Registration Details

NPI Number
1508422411
Provider Type
Individual
Gender
Male
NPI Issued
May 15, 2019 (7.2632438448603 yrs)
Last Updated
May 15, 2019
License
D13993 (MN)

Practice Information

Address
4555 ERIN DR
EAGAN, MN, 551223398
Browse MN providers · Browse ZIP 55122
Phone
6516819044
Fax
6516810599
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in EAGAN, MN

Name Credential NPI
DR. JON DAVID SKARE DDS 1336145929
SCOTT BJERKE DDS 1689663148
ROBERT A CASPER D.D.S. 1841289329
DR. RICHARD BRUCE FULLER D.D.S. 1801864087
DANIEL BRENGMAN DDS 1760433890
COLLIN RAYMOND HATCHER D.D.S. 1093722621
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.