OrganizationActive
Petersen Family Dental Clinic PA
NPI 1720199953 · General Practice Dentistry · Lakeville, MN
Petersen Family Dental Clinic PA is a General Practice Dentistry organization in Lakeville, MN (NPI 1720199953).
Provider details
- NPI number
- 1720199953
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Steven Petersen, Owner(952) 469-2818
- License
- D10525 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
9202 202nd St W
Suite 201
Lakeville, MN 55044-7915
Phone: (952) 469-2818
Fax: (952) 469-2566
Street-level locationGet directions
Mailing address
9202 202nd St W
Lakeville, MN 55044-7915
Other names (DBA / former)
- Doing business as
- Elko-New Market Dental Clinic
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-08-22
Frequently asked questions
- What is Petersen Family Dental Clinic PA's NPI number?
- Petersen Family Dental Clinic PA's National Provider Identifier (NPI) is 1720199953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petersen Family Dental Clinic PA?
- Petersen Family Dental Clinic PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Petersen Family Dental Clinic PA located?
- Petersen Family Dental Clinic PA's practice location on file with NPPES is 9202 202nd St W, Lakeville, MN 55044-7915.
- What is Petersen Family Dental Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Petersen Family Dental Clinic PA is (952) 469-2818.
- Who is the authorized official for Petersen Family Dental Clinic PA?
- The authorized official listed on Petersen Family Dental Clinic PA's NPPES record is Steven Petersen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petersen Family Dental Clinic PA's NPI active?
- Yes — Petersen Family Dental Clinic PA's NPI (1720199953) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.