Dr Michael James Petersen, DDS - Dentist in Roseville, MN

Dr Michael James Petersen, DDS is a Dentist - General Practice based in Roseville, Minnesota. Dr Michael James Petersen is licensed to practice in Minnesota (license number 9923) and his current practice location is 3101 Old Highway 8, Suite #303, Roseville, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 636-0840.

NPI number for Dr Michael James Petersen is 1407902307 and his current mailing address is 3101 Old Highway 8, Suite #303, Roseville, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407902307.

Contact Information

Dr Michael James Petersen, DDS
3101 Old Highway 8, Suite #303,
Roseville, MN 55113-1072
(651) 636-0840
(651) 633-1760



Healthcare Provider's Profile

Full NameDr Michael James Petersen
GenderMale
SpecialityDentist - General Practice
Location3101 Old Highway 8, Roseville, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407902307
  • Provider Enumeration Date: 01/25/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Michael James Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407902307NPI-NPPES
(NEED TYPE 2 # ALSO)OtherMN(INCORPORATED)HAVE IND.#

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 9923 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael James Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael James Petersen, DDS
3101 Old Highway 8, Suite #303,
Roseville, MN 55113-1072

Ph: (651) 636-0840
Dr Michael James Petersen, DDS
3101 Old Highway 8, Suite #303,
Roseville, MN 55113-1072

Ph: (651) 636-0840

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› Verified 1 days ago


Dentist in Roseville, MN

Stephanie Mazhari Huang, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 708 County Road B W, Roseville, MN 55113
Phone: 651-489-0161    Fax: 651-489-9938
Dr. Kirk Roland Baumgardner, DDS, PHD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1835 County Road C W, Roseville, MN 55113
Phone: 651-746-0587    Fax: 651-636-1118
Dr. Douglas Kenneth Keim,, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2233 Hamline Ave N, Suite 210, Roseville, MN 55113
Phone: 651-631-2944    Fax: 651-639-1439
Michael Warren Geiser, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2233 Hamline Ave N, Suite 111, Roseville, MN 55113
Phone: 651-633-5087    Fax: 651-633-5148
Dr. Teodora Nikolaeva Baylon, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 2233 Hamline Ave N, Roseville, MN 55113
Phone: 651-636-0655    
Craig Anthony Sulzdorf, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1912 Lexington Ave N Ste 200, Roseville, MN 55113
Phone: 651-631-3610    
Dr. Pamela Jean Holm, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1835 County Road C W, #220, Roseville, MN 55113
Phone: 651-636-2123    Fax: 651-636-2614

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