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

Dr. Russell Thomas Peterson, DDS

Individual provider Dentist · NPI 1457513616

Dr. Russell Thomas Peterson, DDS is a Dentist in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
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

816 W Saint Germain St Ste 101
Saint Cloud, MN 56301-4502
Phone: (320) 252-2454
Fax: (320) 252-2232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D12530 (MN)

Record details

NPI number1457513616
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 30, 2008
Last updated in NPPESMay 14, 2009
Mailing address816 W Saint Germain St, Suite 101, Saint Cloud, MN 56301-4502

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