MR. THOMAS MERLIN PETERSON DDS
NPI 1891806709
Dentist - General Practice in St Cloud, MN

Active since August 31, 2006
816 W ST GERMAIN ST #101, ST CLOUD, MN 56301(320) 252-2454(320) 252-2232 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Thomas Merlin Peterson Dds NPPES

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

MR. THOMAS MERLIN PETERSON DDS (NPI 1891806709) is an individual general practice provider in St Cloud, Minnesota, licensed in Minnesota (D8620) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1891806709
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. THOMAS MERLIN PETERSONCredential: DDS
Location Address816 W ST GERMAIN ST #101St Cloud, MN 56301-3511
Mailing Address816 W St Germain St #101St Cloud, MN 56301-3511 · (320) 252-2454 · Fax (320) 252-2232
Fax(320) 252-2232
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 18, 2014
NPI 1891806709 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 · D8620
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.

Other Identifiers 1

Medicaid838318900MN

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
816 W ST GERMAIN ST #101
ST CLOUD, MN 56301

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 Thomas Peterson's NPI number?

The NPI number for Thomas Peterson is 1891806709. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Thomas Peterson located?

Thomas Peterson practices at 816 W St Germain St #101, St Cloud, MN 56301. The listed phone number is (320) 252-2454.

What is Thomas Peterson'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 Thomas Peterson was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.