NPI
Peterson Dental Associates, P.A.
NPI 1396856100
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-08-31
- Last updated
- 2014-06-17
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 816 W St Germain St #101
- City
- St Cloud MN
- Postal code
- 56301-3511
- Phone
- (320) 252-2454
Organization contact
- Name
- Russell Peterson
- Title
- President of Corp
- Phone
- (320) 252-2454
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in St Cloud, MN. 528 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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