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ELKO-NEW MARKET DENTAL CLINIC
NPI 1720199953
Dentist - General Practice in Lakeville, MN

Active since August 31, 2006
9202 202ND ST W, SUITE 201, LAKEVILLE, MN 55044(952) 469-2818(952) 469-2566 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elko-new Market Dental Clinic NPPES

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

ELKO-NEW MARKET DENTAL CLINIC (NPI 1720199953) is a healthcare organization registered as a general practice in Lakeville, Minnesota and active in the NPI registry since August 2006. The organization lists Steven Blaine Petersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1720199953
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePETERSEN FAMILY DENTAL CLINIC PA
Location Address9202 202ND ST W, SUITE 201Lakeville, MN 55044-7915
Mailing Address9202 202nd St W, Suite 201Lakeville, MN 55044-7915 · (952) 469-2818 · Fax (952) 469-2566
Phone(952) 469-2818
Fax(952) 469-2566
Organization SubpartNo
Authorized OfficialSteven Blaine PetersenOwner · (952) 469-2818
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720199953 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 · D10525
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.
9202 202ND ST W, Lakeville, MN 55044
Open in Google Maps ↗

Other Names 1

Doing Business AsElko-new Market Dental Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

DR. ZONGSHI JI BCS
Dentist (Endodontics)
9202 202ND ST W, SUITE 202
LAKEVILLE, MN 55044
Dakota County (763) 670-0172
CAILIN MARIE SHURSON D.C.
Chiropractor
9202 202ND ST W, STE 203
LAKEVILLE, MN 55044
Dakota County (952) 469-8385
DR. STEVEN BLAINE PETERSEN DDS
Dentist (General Practice)
9202 202ND ST W, SUITE 201
LAKEVILLE, MN 55044
Dakota County (952) 469-2818
CYNTHIA SUSANNA VANSICKLER D.C.
Chiropractor
9202 202ND ST W, SUITE 203
LAKEVILLE, MN 55044
Dakota County (952) 469-8385
DR. CRAIG ALAN COUILLARD DC
Chiropractor (Sports Physician)
9202 202ND ST W, SUITE 203
LAKEVILLE, MN 55044
Dakota County (952) 469-8385

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 Petersen Family Dental Clinic PA's NPI number?

The NPI number for Petersen Family Dental Clinic PA is 1720199953. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Elko-New Market Dental Clinic.

Where is Petersen Family Dental Clinic PA located?

Petersen Family Dental Clinic PA is located at 9202 202nd St W Suite 201, Lakeville, MN 55044. The listed phone number is (952) 469-2818.

What is Petersen Family Dental Clinic PA's specialty?

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

What insurance does Petersen Family Dental Clinic PA accept?

Health plans from UnitedHealthcare list Petersen Family Dental Clinic PA 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 Petersen Family Dental Clinic PA was last updated on August 22, 2020. 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.