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

Dr. Michael James Petersen, DDS

Individual provider General Practice Dentistry · NPI 1407902307

Dr. Michael James Petersen, DDS is a General Practice Dentistry in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
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

3101 Old Highway 8 Ste #303
Roseville, MN 55113-1072
Phone: (651) 636-0840
Fax: (651) 633-1760
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 9923 (MN)

Record details

NPI number1407902307
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 25, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3101 Old Highway 8, Suite #303, Roseville, MN 55113-1072

Other providers in Roseville