Doctor profile · Federal record
Dr. Douglas Petersen, DDS
Periodontist · Edina, MN
- NPI 1134208630
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6545 France Ave S, #366
Edina, MN 554352131
(952) 926-2763
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223P0300X — NUCC code
- State license (1)
- Minnesota #D10423
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134208630. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$55
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 1 | $55.47 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
225
Patients
206
Total drug cost
$1,224
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Chlorhexidine Gluconate | Generic | 105 | 100 | $635 |
| Amoxicillin | Generic | 104 | 92 | $512 |
| Azithromycin | Generic | 16 | 14 | $78 |
Frequently asked questions
What is Dr. Douglas Petersen's medical specialty?
Dr. Douglas Petersen practices Periodontist in Edina, MN.
Where does Dr. Douglas Petersen practice?
Dr. Douglas Petersen practices at 6545 France Ave S, Edina, MN 554352131. Office phone: 9529262763.
What is Dr. Douglas Petersen's NPI?
Dr. Douglas Petersen's National Provider Identifier (NPI) is 1134208630, issued by NPPES.