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

Timothy A Peterson, DDS, MS

Individual provider Prosthodontics · NPI 1477507119

Timothy A Peterson, DDS, MS is a Prosthodontics in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

701 Park Ave P7
Minneapolis, MN 55415-1623
Phone: (612) 873-2370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence D7957 (MN)

Record details

NPI number1477507119
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESJuly 29, 2007
Mailing address701 Park Ave, Minneapolis, MN 55415-1623

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