Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Petersen Family Dental Clinic PA

Organization General Practice Dentistry · NPI 1720199953

Petersen Family Dental Clinic PA provides General Practice Dentistry in Lakeville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9202 202nd St W Ste 201
Lakeville, MN 55044-7915
Phone: (952) 469-2818
Fax: (952) 469-2566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D10525 (MN)

Record details

NPI number1720199953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Petersen — Owner · (952) 469-2818
Other names Elko-New Market Dental Clinic
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address9202 202nd St W, Suite 201, Lakeville, MN 55044-7915

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