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

Dr. Samuel James Petrie, DDS

Individual provider Dentist · NPI 1912044868

Dr. Samuel James Petrie, DDS is a Dentist in Rochester, 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.

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Practice location Address checks out

4058 5th St NW
Rochester, MN 55901-7514
Phone: (507) 289-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D10734 (MN)

Record details

NPI number1912044868
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4058 5th St Nw, Rochester, MN 55901-7514

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