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JESSICA PETERSON DDS
NPI 1003546128
Dentist in Nisswa, MN

Active since June 13, 2022
25477 MAIN ST # PO454, NISSWA, MN 56468(218) 963-6330 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jessica Peterson Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA PETERSON DDS (NPI 1003546128) is an individual dentist in Nisswa, Minnesota, licensed in Minnesota (D14758) and active in the NPI registry since June 2022. She maintains a secondary practice location in Staples.

NPPES Registry Identity

NPI1003546128
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJESSICA PETERSONCredential: DDS
Location Address25477 MAIN ST # PO454Nisswa, MN 56468-5001
Mailing Address25477 Main St # Po454Nisswa, MN 56468-5001 · (218) 963-6330
Phone(218) 963-6330
Sole ProprietorNo
Enumeration DateJune 13, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1003546128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D14758
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
25477 MAIN ST # PO454, Nisswa, MN 56468
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Secondary Practice Location 1

Location 1515 6th St NEStaples, MN 56479-2359 · Phone (218) 894-1941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Peterson's NPI number?

The NPI number for Jessica Peterson is 1003546128. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Jessica Peterson located?

Jessica Peterson practices at 25477 Main St # Po454, Nisswa, MN 56468. The listed phone number is (218) 963-6330.

What is Jessica Peterson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jessica Peterson was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.