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DR. MICHAEL JAMES PETERSEN D.D.S.
NPI 1407902307
Dentist - General Practice in Roseville, MN

Active since January 25, 2007
3101 OLD HIGHWAY 8, SUITE #303, ROSEVILLE, MN 55113(651) 636-0840(651) 633-1760 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael James Petersen D.d.s. NPPES

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

DR. MICHAEL JAMES PETERSEN D.D.S. (NPI 1407902307) is an individual general practice provider in Roseville, Minnesota, licensed in Minnesota (9923) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1407902307
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL JAMES PETERSENCredential: D.D.S.
Location Address3101 OLD HIGHWAY 8, SUITE #303Roseville, MN 55113-1072
Mailing Address3101 Old Highway 8, Suite #303Roseville, MN 55113-1072 · (651) 636-0840 · Fax (651) 633-1760
Phone(651) 636-0840
Fax(651) 633-1760
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407902307 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 · 9923
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.
3101 OLD HIGHWAY 8, Roseville, MN 55113
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Other Identifiers 1

Other(NEED TYPE 2 # ALSO)MN · (incorporated)have Ind.#

Other Providers at the Same Location NPPES 5

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

ANDRYA DIETER, PSYD, LP, LLC
Community/Behavioral Health
3101 OLD HIGHWAY 8, SUITE 304B
ROSEVILLE, MN 55113
Ramsey County (763) 478-1283
MRS. LINDSEY WOLTER PHARMD
Pharmacist (Psychiatric)
3101 OLD HIGHWAY 8
ROSEVILLE, MN 55113
Ramsey County (612) 256-0999
GENOA HEALTHCARE CLINICAL LABORATORY LLC
Clinical Medical Laboratory
3101 OLD HIGHWAY 8, SUITE 203-A
ROSEVILLE, MN 55113
Ramsey County (952) 388-0400
PERFECT TOUCH MASSAGE & CHIROPRACTIC, LTD
Clinic/Center (Primary Care)
3101 OLD HIGHWAY 8, SUITE 300
ROSEVILLE, MN 55113
Ramsey County (763) 746-3344
EMILY MANN JAMISON MSW, LICSW
Social Worker (Clinical)
3101 OLD HIGHWAY 8
ROSEVILLE, MN 55113
Ramsey County (612) 352-9559

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 Michael Petersen's NPI number?

The NPI number for Michael Petersen is 1407902307. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Michael Petersen located?

Michael Petersen practices at 3101 Old Highway 8 Suite #303, Roseville, MN 55113. The listed phone number is (651) 636-0840.

What is Michael Petersen's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.