PETERSON DENTAL PA
NPI 1669046199
Clinic/Center - Dental in Saint Paul, MN

Active since May 19, 2021
1579 HAMLINE AVE N, SAINT PAUL, MN 55108(651) 646-8851(651) 646-4477 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peterson Dental Pa NPPES

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

PETERSON DENTAL PA (NPI 1669046199) is a healthcare organization registered as a dental in Saint Paul, Minnesota and active in the NPI registry since May 2021. The organization lists Donald Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1669046199
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePETERSON DENTAL PA
Location Address1579 HAMLINE AVE NSaint Paul, MN 55108-6119
Mailing Address1579 Hamline Ave NSaint Paul, MN 55108-6119 · (651) 646-8851 · Fax (651) 646-4477
Fax(651) 646-4477
Organization SubpartNo
Authorized OfficialDonald PetersonOwner · (651) 646-8851
Enumeration DateMay 19, 2021
NPPES CertifiedMay 13, 2021
NPI 1669046199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1579 HAMLINE AVE N, Saint Paul, MN 55108

Other Providers at the Same Location NPPES 2

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

Acupuncturist
1579 HAMLINE AVE N
FALCON HEIGHTS, MN 55108
Dentist
1579 HAMLINE AVE N
FALCON HEIGHTS, MN 55108

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 Peterson Dental PA's NPI number?

The NPI number for Peterson Dental PA is 1669046199. It was assigned to this organization in the NPPES registry on May 19, 2021.

Where is Peterson Dental PA located?

Peterson Dental PA is located at 1579 Hamline Ave N, Saint Paul, MN 55108. The listed phone number is (651) 646-8851.

What is Peterson Dental PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Peterson Dental PA was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.