Doctor profile · Federal record
Dr. John Petersen, DDS
General Practice Dentistry · Eagan, MN
- NPI 1508422411
- 7 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4555 Erin Dr
Eagan, MN 551223398
(651) 681-9044
fax (651) 681-0599 - Mailing address
-
3200 Hilldale Ave Ne
St Anthony, MN 554182502
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Minnesota #D13993
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508422411. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, INC. | 1 | $23.68 |
By nature of payment
Frequently asked questions
What is Dr. John Petersen's medical specialty?
Dr. John Petersen practices General Practice Dentistry in Eagan, MN.
Where does Dr. John Petersen practice?
Dr. John Petersen practices at 4555 Erin Dr, Eagan, MN 551223398. Office phone: 6516819044.
What is Dr. John Petersen's NPI?
Dr. John Petersen's National Provider Identifier (NPI) is 1508422411, issued by NPPES.