Dr. Troy R Petersen
DMD MD | Oral and Maxillofacial Surgeon | 24+ years Exp
1165c South Columbia Road, Grand Forks
North Dakota, 58201-4007
701-772-7379 701-772-9643
Maps & DirectionsDr. Troy R Petersen is a Grand Forks, North Dakota based Oral and Maxillofacial Surgeon with
24 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
University Of Nebraska College Of Medicine in 2001 He is also affiliated with hospitals like
. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Troy R Petersen is
1897 for Oral and Maxillofacial Surgery in North Dakota. His current practice location is
1165c South Columbia Road, Grand Forks. Patients can reach him at
701-772-7379.
Dr. Troy R Petersen deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Troy R 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. Troy R Petersen |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DMD MD |
| Experience: | 24+ years |
| Medical School Attended: | University Of Nebraska College Of Medicine |
| Graduation Year: | 2001 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1165c South Columbia Road, Grand Forks,
North Dakota, 58201-4007 |
| Phone: | 701-772-7379 |
| Fax: | 701-772-9643 |
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.
| PAC ID: | 3779573118 |
| Enrollment ID: | I20040517000747 |
| NPI Number: | 1073697157 |
| NPI Enumeration Date: | 25 Oct, 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. Troy R Petersen are as mentioned below.
| License Number | Specialization | State | Status | |
| 1897 | Oral and Maxillofacial Surgery | North Dakota | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (350019) | Grand forks, ND | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Troy R Petersen is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Valley Oral And Facial Surgery Pc (3072617455) | 4 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Troy R Petersen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 12975 | Medicaid | North Dakota | |
| 252L7PE | Other | Minnesota | BCBS |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1165c South Columbia Road,
Grand Forks, North Dakota |
| Zip: | 58201-4007 |
| Phone Number: | 701-772-7379 |
| Fax Number: | 701-772-9643 |
Patients can reach Dr. Troy R Petersen at
1165c South Columbia Road, Grand Forks, North Dakota or can
call to book an appointment on 701-772-7379.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.