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DR. MALORY PETERSON DDS
NPI 1194456822
Dentist - General Practice in Northfield, MN

Active since June 22, 2022
1501 CLINTON LN, NORTHFIELD, MN 55057(507) 645-5264 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Malory Peterson Dds NPPES

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

DR. MALORY PETERSON DDS (NPI 1194456822) is an individual general practice provider in Northfield, Minnesota, licensed in Minnesota (D14784) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1194456822
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MALORY PETERSONCredential: DDS
Location Address1501 CLINTON LNNorthfield, MN 55057-3295
Mailing Address2030 Sibley View CtNorthfield, MN 55057-3206 · (507) 259-1082
Phone(507) 645-5264
Sole ProprietorNo
Enumeration DateJune 22, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1194456822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D14784
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1501 CLINTON LN, Northfield, MN 55057
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. MADELINE ROSE KARLS DDS
Dentist
1501 CLINTON LN
NORTHFIELD, MN 55057
Rice County (507) 645-5264

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 Malory Peterson's NPI number?

The NPI number for Malory Peterson is 1194456822. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Malory Peterson located?

Malory Peterson practices at 1501 Clinton Ln, Northfield, MN 55057. The listed phone number is (507) 645-5264.

What is Malory Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Malory Peterson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Malory Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Malory Peterson was last updated on June 22, 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.