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

Dr. Michael James Petersen, DDS

Individual provider General Practice Dentistry · NPI 1407902307

Dr. Michael James Petersen, DDS is a General Practice Dentistry in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
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

3101 Old Highway 8 Ste #303
Roseville, MN 55113-1072
Phone: (651) 636-0840
Fax: (651) 633-1760
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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 9923 (MN)

Record details

NPI number1407902307
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2007

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