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

Dr. Troy R Petersen, DMDMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1073697157

Dr. Troy R Petersen, DMDMD is an Oral Surgery in Grand Forks, North Dakota. Graduated from University of Nebraska College of Medicine in 2001, 25 years ago. Practices with Valley Oral and Facial Surgery PC, a 4-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
25
Trained at
University of Nebraska College of Medicine
Licensed in
ND
In the registry since
2006

Practice location Address checks out

1165C S Columbia Rd
Grand Forks, ND 58201-4007
Phone: (701) 772-7379
Fax: (701) 772-9643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 1897 (ND)

Record details

NPI number1073697157
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDMD
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Valley Oral And Facial Surgery Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Forks