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

Dr. Kristy Lynn Petersen, DDS

Individual provider Dentist · NPI 1407948060

Dr. Kristy Lynn Petersen, DDS is a Dentist in Woodbury, Minnesota. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2006.

Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
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.

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Practice location Address checks out

10150 City Walk Dr Apt C
Woodbury, MN 55129-9270
Phone: (651) 714-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D12087 (MN)
Dentist Taxonomy 122300000X · Licence 5884015 (WI)

Record details

NPI number1407948060
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESJanuary 10, 2018

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