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

Peterson Dental Associates, PA

Organization General Practice Dentistry · NPI 1396856100

Peterson Dental Associates, PA is a General Practice Dentistry in St Cloud, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
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

816 W St Germain St #101
St Cloud, MN 56301-3511
Phone: (320) 252-2454
Fax: (320) 252-2232
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dental Hygienist Taxonomy 124Q00000X
Dental Assistant Taxonomy 126800000X

Record details

NPI number1396856100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Peterson — President Of Corp · (320) 252-2454
NPI enumeratedAugust 31, 2006
Last updated in NPPESJune 17, 2014
Mailing address816 W St Germain St #101, St Cloud, MN 56301-3511

Other providers in St Cloud