Peterson Dental Associates, P.A. in St Cloud - General Practice
Peterson Dental Associates, P.A. - NPI 1396856100
Peterson Dental Associates, P.A. is a General Practice in St Cloud, Minnesota. Peterson Dental Associates, P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Peterson Dental Associates, P.A. is 1396856100. The last update date is 2014-06-17.
Peterson Dental Associates, P.A.'s current location address is 816 W St Germain St #101, St Cloud, Minnesota. You can contact this provider via phone number 3202522454 and fax number 3202522232. The mailing address for Peterson Dental Associates, P.A. is 816 W St Germain St #101, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peterson Dental Associates, P.A. |
|---|---|
| Address | 816 W St Germain St #101, St Cloud, Minnesota |
| Phone Number | 3202522454 |
| Fax Number | 3202522232 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peterson Thomas Russell |
| Credentials | DDS |
| Telephone Number | 3202522454 |
NPI Number Detail
| NPI Number | 1396856100 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2014-06-17 |
Provider Mailing Address Detail
| Address | 816 W St Germain St #101 |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563013511 |
| Phone Number | 3202522454 |
| Fax Number | 3202522232 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 398350100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peterson Dental Associates, P.A. by the Centers for Medicare & Medicaid Services?
The Peterson Dental Associates, P.A. has been issued the NPI (National Provider Identifier) 1396856100, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Peterson Dental Associates, P.A. is physically located?
The Peterson Dental Associates, P.A. is situated at the following address: 816 W St Germain St #101, St Cloud, MN 563013511.
What is the Peterson Dental Associates, P.A.'s specialty and taxonomy code?
The Peterson Dental Associates, P.A.'s specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Peterson Dental Associates, P.A. receive its 1396856100 assignment from the Centers for Medicare & Medicaid Services?
The Peterson Dental Associates, P.A. was assigned its 1396856100 by the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information regarding Peterson Dental Associates, P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peterson Dental Associates, P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-06-17.