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

Dr. John Robert Petersen, DDS

Individual provider General Practice Dentistry · NPI 1508422411

Dr. John Robert Petersen, DDS is a General Practice Dentistry in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.

Licensed in
MN
In the registry since
2019
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.

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Practice location Address checks out

4555 Erin Dr
Eagan, MN 55122-3398
Phone: (651) 681-9044
Fax: (651) 681-0599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D13993 (MN)

Record details

NPI number1508422411
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 15, 2019
Last updated in NPPESMay 15, 2019

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