| Sheldon T. Peterson Dds | |
|
14050 Nicollet Ave So Suite 205 Burnsville MN 55337-5710 | |
| (952) 435-4177 | |
| (952) 898-6164 |
| Full Name | Sheldon T. Peterson Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14050 Nicollet Ave So, Burnsville, Minnesota |
| Authorized Official Name and Position | Sheldon Trent Peterson (OWNER) |
| Authorized Official Contact | 9524354177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheldon T. Peterson Dds 14050 Nicollet Ave Suite 205 Burnsville MN 55337-5710 Ph: (952) 435-4177 | Sheldon T. Peterson Dds 14050 Nicollet Ave So Suite 205 Burnsville MN 55337-5710 Ph: (952) 435-4177 |
| NPI Number | 1871632331 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871632331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8625 (Minnesota) | Primary |
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