NATALIE A PETERSON (NPI# 1629046743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629046743 |
| Entity Type | Individual |
| Full Name | NATALIE A PETERSON |
| Credential | DDS |
| Practice Address |
13550 26th Ave N Plymouth MN 55441-3650 |
| Practice Telephone | 6515570287 |
| Mailing Telephone | 6515570287 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D11685 | MN | Dental Providers |
| N | 122300000X | Dentist | 5600015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356908412 | Natalie Peterson | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-05-23 |
| 1962973487 | Natalie Peterson | Physician Assistant | 1135 W University Dr Ste 450, Rochester, MI 48307-1871 | 2018-12-10 |
| 1497268825 | Natalie Peterson | Physical Therapist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2017-11-07 |
| 1942558390 | Natalie Ruth Peterson | Speech-Language Pathologist | 314 S Elm Ave, Logan, IA 51546-1442 | 2012-08-15 |
| Street Address |
13550 26TH AVE N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003806027 | Michael Nelson | Dentist | 13550 26th Ave N, Plymouth, MN 55441-3650 | 2005-10-21 |
| 1740515345 | Ifeoma Uchenna Okeke | Dentist | 13550 26th Ave N, #200, Plymouth, MN 55441-3650 | 2009-10-15 |
| 1750519930 | Malina Teodoru | Dentist | 13550 26th Ave N, Plymouth, MN 55441-3650 | 2009-06-26 |
| 1730336249 | Duane Cary Mcneil | Dentist | 13550 26th Ave N, Suite #200, Plymouth, MN 55441-3650 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760091268 | Haggerty Dental | Dentist | 16000 N Haggerty Rd, Plymouth, MI 48170-4884 | 2020-07-30 |
| 1902460439 | Jose Joaquin Giraud | Dentist | 130 Carr Rd, Plymouth, WI 53073-9500 | 2019-04-30 |
| 1215477088 | Thomas M. Pedavoli Dds Inc. | Dentist | 850 Columbus Dr, Plymouth, IN 46563-1877 | 2017-02-27 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1356792097 | Uvoh Erhiegueke Onoriobe | Dentist | 9301 Mayflower Ct, Plymouth, MI 48170-3923 | 2016-06-23 |
| 1003263989 | Mohammed Almumaiz | Dentist | 45600 Joy Rd, Plymouth, MI 48170-3660 | 2016-05-19 |
| 1528415742 | Revanth Chada | Dentist | 4665 Urbandale Ct N, Plymouth, MN 55446-1946 | 2016-05-17 |
| 1336595941 | Michelle Peters | Dentist | 9416 S Main St Ste 211, Plymouth, MI 48170-4183 | 2016-05-12 |
| 1154798262 | Mark Jurek | Dentist | 556 N Oak Dr, Plymouth, IN 46563-1664 | 2015-08-24 |
| 1336516517 | Dental Center of Plymouth LLC | Dentist | 1913 N Michigan St Ste E, Plymouth, IN 46563-1015 | 2015-08-24 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.