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

Dr. Douglas George Petersen, DDS

Individual provider Periodontics · NPI 1134208630

Dr. Douglas George Petersen, DDS is a Periodontics in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

6545 France Ave S #366
Edina, MN 55435-2131
Phone: (952) 926-2763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D10423 (MN)

Record details

NPI number1134208630
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6545 France Ave S, 366, Edina, MN 55435-2131

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