Peterson Dental Associates, P.A.
NPI 1396856100 · General Practice Dentistry · St Cloud, MN
Peterson Dental Associates, P.A. is a General Practice Dentistry organization in St Cloud, MN (NPI 1396856100).
Provider details
- NPI number
- 1396856100
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Russell Peterson, President of Corp(320) 252-2454
Specialties & taxonomies
Dental Providers
- Dental Hygienist124Q00000X
Dental Providers
- Dental Assistant126800000X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2014-06-17
Frequently asked questions
- What is Peterson Dental Associates, P.A.'s NPI number?
- Peterson Dental Associates, P.A.'s National Provider Identifier (NPI) is 1396856100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peterson Dental Associates, P.A.?
- Peterson Dental Associates, P.A. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Peterson Dental Associates, P.A. located?
- Peterson Dental Associates, P.A.'s practice location on file with NPPES is 816 W St Germain St #101, St Cloud, MN 56301-3511.
- What is Peterson Dental Associates, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Peterson Dental Associates, P.A. is (320) 252-2454.
- Who is the authorized official for Peterson Dental Associates, P.A.?
- The authorized official listed on Peterson Dental Associates, P.A.'s NPPES record is Russell Peterson, President of Corp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peterson Dental Associates, P.A.'s NPI active?
- Yes — Peterson Dental Associates, P.A.'s NPI (1396856100) is active in the NPPES registry as of the last update on 2014-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.