DR. DANIEL CHARLES PETERSON DDS, MSD
NPI 1164980447
Dentist - Orthodontics and Dentofacial Orthopedics in Moorhead, MN

Active since March 06, 2019
1550 30TH AVE S, MOORHEAD, MN 56560(218) 236-1322 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel Charles Peterson Dds, Msd NPPES

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

DR. DANIEL CHARLES PETERSON DDS, MSD (NPI 1164980447) is an individual orthodontics and dentofacial orthopedics provider in Moorhead, Minnesota, licensed in Minnesota (D14144) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1164980447
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. DANIEL CHARLES PETERSONCredential: DDS, MSD
Location Address1550 30TH AVE SMoorhead, MN 56560-5150
Mailing Address1550 30th Ave SMoorhead, MN 56560-5150
Sole ProprietorNo
Enumeration DateMarch 6, 2019
NPI 1164980447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MN · D14144
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1550 30TH AVE S, Moorhead, MN 56560

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
1550 30TH AVE S
MOORHEAD, MN 56560
Dentist (Orthodontics and Dentofacial Orthopedics)
1550 30TH AVE S
MOORHEAD, MN 56560
Dentist (Orthodontics and Dentofacial Orthopedics)
1550 30TH AVE S
MOORHEAD, MN 56560

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 Daniel Peterson's NPI number?

The NPI number for Daniel Peterson is 1164980447. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Where is Daniel Peterson located?

Daniel Peterson practices at 1550 30th Ave S, Moorhead, MN 56560. The listed phone number is (218) 236-1322.

What is Daniel Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Daniel Peterson was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.