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DR. JOHN ROBERT PETERSEN DDS
NPI 1508422411
Dentist - General Practice in Eagan, MN

Active since May 15, 2019
4555 ERIN DR, EAGAN, MN 55122(651) 681-9044(651) 681-0599 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. John Robert Petersen Dds NPPES

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

DR. JOHN ROBERT PETERSEN DDS (NPI 1508422411) is an individual general practice provider in Eagan, Minnesota, licensed in Minnesota (D13993) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1508422411
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN ROBERT PETERSENCredential: DDS
Location Address4555 ERIN DREagan, MN 55122-3398
Mailing Address3200 Hilldale Ave NeSt Anthony, MN 55418-2502 · (612) 790-3615
Phone(651) 681-9044
Fax(651) 681-0599
Sole ProprietorNo
Enumeration DateMay 15, 2019
✔ NPI 1508422411 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 · D13993
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.
4555 ERIN DR, Eagan, MN 55122
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Accepted Insurance

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

Other Providers at the Same Location NPPES 8

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

NANCY NUTTING COHEN LAMFT
Marriage & Family Therapist
4555 ERIN DR, SUITE 260
EAGAN, MN 55122
Dakota County (651) 686-8818
MS. LYNDALL JOHNSON MA LP
Psychologist
4555 ERIN DR, #260
EAGAN, MN 55122
Dakota County (651) 686-8818
DR. LINDA S. RAASCH ED.D., L.P.
Psychologist
4555 ERIN DR, SUITE 260
EAGAN, MN 55122
Dakota County (651) 686-8818
ASLAN INSTITUTE
Psychologist
4555 ERIN DR, SUITE 260
EAGAN, MN 55122
Dakota County (651) 686-8818
DR. COLIN HOLLIDGE PHD LISCW
Social Worker
4555 ERIN DR, SUITE 260
EAGAN, MN 55122
Dakota County (651) 686-8818
BRANDON MANNIE D.C. LLC
Chiropractor
4555 ERIN DR, 210
EAGAN, MN 55122
Dakota County (651) 452-2225
JOHN DAVID MITTELSTEADT D.D.S.
Dentist (General Practice)
4555 ERIN DR
EAGAN, MN 55122
Dakota County (651) 681-9044
EAGAN VALLEY DENTAL CENTER P.A.
Dentist
4555 ERIN DR
EAGAN, MN 55122
Dakota County (651) 681-9044

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 John Petersen's NPI number?

The NPI number for John Petersen is 1508422411. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is John Petersen located?

John Petersen practices at 4555 Erin Dr, Eagan, MN 55122. The listed phone number is (651) 681-9044.

What is John Petersen's specialty?

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

What insurance does John Petersen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list John 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 John Petersen was last updated on May 15, 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.