Michael Dean Peterson, D.D.S., M.S.

Endodontics · Fargo, ND

Individual Active NPI

NPI number 1578848131

Practice location

4710 Amber Valley Pkwy S, Ste a
Fargo, ND 58104
Phone
(701) 232-1956
Fax
(701) 232-2226

Open in Google Maps

NPI record

NPI
1578848131
Entity type
Individual (Type 1)
Enumeration date
October 14, 2011
Last updated
July 10, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X 8004 MD

About Dr. Peterson

Michael Dean Peterson, D.D.S., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 4710 Amber Valley Pkwy S, Ste a, Fargo, ND 58104. The NPI number 1578848131 was assigned on October 14, 2011 and the record was last updated on July 10, 2012.

Dr. Peterson lists a license in the registry: #8004 (MD) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Dean Peterson, D.D.S., M.S.?

The NPI number is 1578848131.

What is the phone number of Dr. Peterson?

The phone number listed for the practice location is (701) 232-1956.

Where is Dr. Peterson located?

4710 Amber Valley Pkwy S, Ste a, Fargo, ND 58104.

What is the taxonomy code for Dr. Peterson?

The primary taxonomy code is 1223E0200X – Endodontics.

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.

Other Endodontics providers in Fargo

All Endodontics providers in Fargo, ND →