NPI
Donald Joseph Peterson
NPI 1609935097
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2006-12-08
- Last updated
- 2021-05-21
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Specialties
Licenses
- License MN
- D10383
Location
- Practice location
- 1579 Hamline Ave N
- City
- Falcon Heights MN
- Postal code
- 55108-2107
- Phone
- (651) 646-8851
Medicare
- PECOS
- A PECOS enrollment row matches 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 Falcon Heights, MN. 27 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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