Dr. Douglas George Petersen is a Edina, Minnesota based Periodontics who is specialized in
Periodontology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Douglas George Petersen is
D10423 for Periodontology in Minnesota. His current practice location is
6545 France Ave S, #366, Edina. Patients can reach him at
952-926-2763.
Dr. Douglas George Petersen is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Dr. Douglas George Petersen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Douglas George Petersen |
| Specialization: | Periodontics |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 6545 France Ave S, #366, Edina,
Minnesota, 55435-2131 |
| Phone: | 952-926-2763 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1134208630 |
| NPI Enumeration Date: | 03 Nov, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Douglas George Petersen are as mentioned below.
| License Number | Specialization | State | Status | |
| D10423 | Periodontology | Minnesota | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6545 France Ave S, #366
Edina, Minnesota |
| Zip: | 55435-2131 |
| Phone Number: | 952-926-2763 |
Patients can reach Dr. Douglas George Petersen at
6545 France Ave S, #366, Edina, Minnesota or can
call to book an appointment on 952-926-2763.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.