Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas George Petersen, DDS

Individual provider Periodontics · NPI 1134208630

Dr. Douglas George Petersen, DDS is a Periodontics in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

6545 France Ave S #366
Edina, MN 55435-2131
Phone: (952) 926-2763
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D10423 (MN)

Record details

NPI number1134208630
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESJuly 8, 2007

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