DR. SALLY NICOLE PETERS (NPI# 1760684559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760684559 |
| Entity Type | Individual |
| Full Name | DR. SALLY NICOLE PETERS |
| Credential | D.D.S.,M.S. |
| Practice Address |
1099 Helmo Ave N Suite 200 Oakdale MN 55128-6033 |
| Practice Telephone | 6515788401 |
| Practice Fax Number | 6517316836 |
| Mailing Telephone | 6515788401 |
| Mailing Fax Number | 6517316836 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D11028 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083851117 | Sally Ann Peters | Physical Therapist | 11827 Pebblepointe Pass, Carmel, IN 46033-9672 | 2009-01-12 |
| 1235131566 | Sally A Peters | Social Worker | 3405 Fontana Lake Dr, Fuquay Varina, NC 27526-0109 | 2005-05-31 |
| Street Address |
1099 HELMO AVE N SUITE 200 |
| City | OAKDALE |
| State | MN |
| Zip Code | 55128-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987579 | William Randall Kreusser | Psychologist | 1099 Helmo Ave N, Suite 250, Oakdale, MN 55128-6033 | 2006-01-19 |
| 1912237694 | Mary Elizabeth Tuttle | Physical Therapist | 1099 Helmo Ave N, Oakdale, MN 55128-6033 | 2010-01-03 |
| 1225361066 | Chad Theodore Bogren | Optometrist | 1099 Helmo Ave N, Ste 150, Oakdale, MN 55128-6038 | 2009-09-11 |
| 1821240557 | David Lyle Haglund | Family Medicine | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6033 | 2008-10-13 |
| 1780889162 | Allison Leah Wong | Family Medicine | 1099 Helmo Ave N, Oakdale, MN 55128-6033 | 2007-06-18 |
| 1669514493 | Healtheast Care System | Non-Pharmacy Dispensing Site | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6033 | 2007-02-12 |
| 1285702167 | Jon D. Tessar | Dentist | 1099 Helmo Ave N, Suite 200, Oakdale, MN 55128-6033 | 2006-12-01 |
| 1093888349 | Advanced Vision Clinic and Optical LLC | Optometrist | 1099 Helmo Ave N, Suite 150, Oakdale, MN 55128-6033 | 2006-11-16 |
| 1912929357 | Valerie Jane Jarstad | Family Medicine | 1099 Helmo Ave N, Healtheast Oakdale Clinic, Oakdale, MN 55128-6033 | 2006-07-24 |
| 1073569935 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6033 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174181 | James Albert Nguyen | Pharmacist | 985 Geneva Ave, Oakdale, MN 55128 | 2020-08-17 |
| 1154895977 | Northstar Behavioral Health | Substance Abuse Rehabilitation Facility | 5713 Geneva Ave N, Oakdale, MN 55128 | 2019-01-15 |
| 1780131391 | Beth Reitzel | Social Worker | 7066 Stillwater Boulevard North, Oakdale, MN 55128 | 2016-09-01 |
| 1740645407 | Caring Hand LLC | Non-emergency Medical Transport (VAN) | 6703 13th St. Ct N Oakdale, Oakdale, MN 55128 | 2015-12-23 |
| 1689040453 | Hy Vee Inc | Pharmacy | 7180 10th Street N, Oakdale, MN 55128 | 2015-08-17 |
| 1902169550 | Susan Kay Milner | Pharmacist | 300 Clydesdale Trail, Target 2223, Medina, MN 55128 | 2012-06-19 |
| 1144581125 | Christine Vanjaeckel | Specialist | 434 Hayward Ave N, Oakdale, MN 55128 | 2012-06-06 |
| 1811122757 | Amy Ha Truong | Dentist | 6230 10th St N Ste 520, Oakdale, MN 55128 | 2009-05-21 |
| 1538329263 | Victoria Louise Brown-nyseth | Psychiatry & Neurology | 7755 3rd St N Ste 300, Oakdale, MN 55128 | 2008-06-16 |
| 1639292147 | Robert C. Dinga | Optometrist | 8344 3rd Street North, Oakdale, MN 55128 | 2007-04-09 |
| Find all providers in zip 55128 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598967382 | Peters Orthodontic Specialists | Dentist | 1099 Helmo Ave N Ste 200, Oakdale, MN 55128-6037 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100974 | Candid Minnesota, Pllc | Dentist | 15 S 9th St Ste 97, Minneapolis, MN 55402-3105 | 2020-09-23 |
| 1518572916 | Smile Orthodontics Stillwater LLC | Dentist | 2008 Ford Pkwy, Saint Paul, MN 55116-1931 | 2020-09-11 |
| 1508476482 | Sensational Smiles | Dentist | 950 Nicollet Mall Ste 220, Minneapolis, MN 55403-2534 | 2020-08-05 |
| 1457969636 | Eden Prairie Orthodontic Assoc | Dentist | 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 | 2020-07-14 |
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1619595220 | Tracy Miao Liang | Dentist | 515 Delaware St Se # 320, Minneapolis, MN 55455-0357 | 2020-07-09 |
| 1477170108 | Jesse N Veil Dds Ms Pa | Dentist | 250 Fuller St S Ste 100, Shakopee, MN 55379-1324 | 2020-06-29 |
| 1124663067 | Bruce William Anderson | Dentist | 2725 Fox Farm Rd, Worthington, MN 56187-3040 | 2019-11-14 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1528622883 | Margaret Therese Anderson | Dentist | 2019 Jefferson Rd Ste C, Northfield, MN 55057-3258 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
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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.