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

Michael J. Petersen, DDS, PA

Organization Dental Clinic/Center · NPI 1053935916

Michael J. Petersen, DDS, PA is a Dental Clinic/Center in Roseville, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3101 Old Highway 8 Ste 303
Roseville, MN 55113-1076
Phone: (651) 636-0840
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1053935916
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Petersen — Owner, Dentist · (651) 636-0840
NPI enumeratedJune 5, 2020
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing address3101 Old Highway 8 Ste 303, Roseville, MN 55113-1076

Other providers in Roseville