DR. SAMUEL JAMES PETRIE DDS
NPI 1912044868
Dentist in Rochester, MN

Q: What is Samuel Petrie's NPI number?

The NPI number for Samuel Petrie is 1912044868. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Samuel Petrie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Petrie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 31, 2007

4058 5TH ST NW, ROCHESTER, MN 55901(507) 289-5300 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Samuel James Petrie Dds NPPES

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

DR. SAMUEL JAMES PETRIE DDS (NPI 1912044868) is an individual dentist in Rochester, Minnesota, licensed in Minnesota (D10734) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1912044868

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SAMUEL JAMES PETRIECredential: DDS

Location Address4058 5TH ST NWRochester, MN 55901-7514

Mailing Address4058 5th St NwRochester, MN 55901-7514 · (507) 289-5300

Phone(507) 289-5300

Sole ProprietorYes

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912044868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D10734

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.

4058 5TH ST NW, Rochester, MN 55901

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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 Samuel Petrie's NPI number?

The NPI number for Samuel Petrie is 1912044868. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Samuel Petrie located?

Samuel Petrie practices at 4058 5th St NW, Rochester, MN 55901. The listed phone number is (507) 289-5300.

What is Samuel Petrie's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Petrie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.