Malory Peterson, DDS

General Practice Dentistry · Northfield, MN

Individual Active NPI

NPI number 1194456822

Practice location

1501 Clinton Ln
Northfield, MN 55057-3295
Phone
(507) 645-5264

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NPI record

NPI
1194456822
Entity type
Individual (Type 1)
Enumeration date
June 22, 2022
Last updated
June 22, 2022
Certified
June 1, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D14784 MN

Mailing address

2030 Sibley View Ct
Northfield, MN 55057-3206
Phone
(507) 259-1082

About Dr. Peterson

Malory Peterson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1501 Clinton Ln, Northfield, MN 55057-3295. The NPI number 1194456822 was assigned on June 22, 2022 and the record was last updated on June 22, 2022.

Dr. Peterson lists a license in the registry: #D14784 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Malory Peterson, DDS?

The NPI number is 1194456822.

What is the phone number of Dr. Peterson?

The phone number listed for the practice location is (507) 645-5264.

Where is Dr. Peterson located?

1501 Clinton Ln, Northfield, MN 55057-3295.

What is the taxonomy code for Dr. Peterson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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