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DR. KRISTY LYNN PETERSEN DDS
NPI 1407948060
Dentist in Woodbury, MN

Active since September 29, 2006
10150 CITY WALK DR APT C, WOODBURY, MN 55129(651) 714-5555 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kristy Lynn Petersen Dds NPPES

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

DR. KRISTY LYNN PETERSEN DDS (NPI 1407948060) is an individual dentist in Woodbury, Minnesota, licensed in Minnesota (D12087) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1407948060
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KRISTY LYNN PETERSENCredential: DDS
Location Address10150 CITY WALK DR APT CWoodbury, MN 55129-9270
Mailing Address10150 City Walk Dr Apt CWoodbury, MN 55129-9270 · (651) 714-5555 · Fax (651) 714-9005
Phone(651) 714-5555
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJanuary 10, 2018
✔ NPI 1407948060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MN · D12087✔ Licensed in WI · 5884015
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.
10150 CITY WALK DR APT C, Woodbury, MN 55129
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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.

ORTHODONTIC SPECIALISTS OF MINNESOTA, PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
10150 CITY WALK DR APT C
WOODBURY, MN 55129
Washington County (651) 268-2992
DR. LORI MARIE GMEINDER DDS
Dentist
10150 CITY WALK DR APT C
WOODBURY, MN 55129
Washington County (651) 714-5555
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Dentist (Pediatric Dentistry)
10150 CITY WALK DR APT C
WOODBURY, MN 55129
Washington County (651) 501-0018

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 Kristy Petersen's NPI number?

The NPI number for Kristy Petersen is 1407948060. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Kristy Petersen located?

Kristy Petersen practices at 10150 City Walk Dr Apt C, Woodbury, MN 55129. The listed phone number is (651) 714-5555.

What is Kristy Petersen's specialty?

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

What insurance does Kristy Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Kristy Petersen 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 Kristy Petersen was last updated on January 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.