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

Petersen Family Dental Clinic PA

Organization General Practice Dentistry · NPI 1720199953

Petersen Family Dental Clinic PA is a General Practice Dentistry in Lakeville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9202 202nd St W Ste 201
Lakeville, MN 55044-7915
Phone: (952) 469-2818
Fax: (952) 469-2566
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D10525 (MN)

Record details

NPI number1720199953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Petersen — Owner · (952) 469-2818
Other names Elko-New Market Dental Clinic
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address9202 202nd St W, Suite 201, Lakeville, MN 55044-7915

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