DR. REBECCA J PETERSEN (NPI# 1053791954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053791954 |
| Entity Type | Individual |
| Full Name | DR. REBECCA J PETERSEN |
| Credential | DDS |
| Practice Address |
8325 Seasons Parkway Suite 103 Healthpartners Woodbury Dental Woodbury MN 55125-3477 |
| Practice Telephone | 6517025848 |
| Practice Fax Number | 6517025870 |
| Mailing Telephone | 6517025848 |
| Mailing Fax Number | 6517025870 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D13520 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619495108 | Rebecca Marie Petersen | Acupuncturist | 7550 France Ave S Ste 240, Edina, MN 55435-4821 | 2017-09-05 |
| 1962835157 | Rebecca Petersen | Pharmacist | 770 S 400 E Apt 50, Brigham City, UT 84302-3351 | 2013-08-12 |
| 1306403183 | Rebecca Jarratt Petersen | Student in an Organized Health Care Education/Training Program | 1400 W 22nd St, Sioux Falls, SD 57105-1554 | 2019-05-28 |
| 1396262226 | Rebecca Petersen | Behavior Technician | 1875 S Geneva Rd, Orem, UT 84058-2217 | 2017-08-22 |
| 1902349947 | Rebecca Jo Petersen | Nurse Practitioner | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2016-11-23 |
| 1851666168 | Rebecca Jean Petersen | Obstetrics & Gynecology | 701 Park Ave, Mailcode P5, Department of Ob/gyn, Minneapolis, MN 55415-1623 | 2012-03-20 |
| 1205125952 | Rebecca Y. Petersen | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-04-04 |
| 1336442144 | Rebecca A Petersen | Nurse Anesthetist, Certified Registered | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2010-12-16 |
| 1124352174 | Rebecca Lee Petersen | Social Worker | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2009-09-23 |
| 1871760280 | Rebecca Prince Petersen | Surgery | 1959 Ne Pacific St, Box 356410, Seattle, WA 98195-0001 | 2008-05-14 |
| Street Address |
8325 SEASONS PARKWAY SUITE 103 HEALTHPARTNERS WOODBURY DENTAL |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769676 | Kristina Pokharel | Dentist | 8525 Titanium Cir, Woodbury, MN 55129-2227 | 2019-06-14 |
| 1104318328 | Nailah Khalfan | Dentist | 48 Westwood Ct, Woodbury, NY 11797-2624 | 2018-06-04 |
| 1255880944 | Salute Dental | Dentist | 2101 Woodwinds Dr Ste 500, Woodbury, MN 55125-2527 | 2016-09-23 |
| 1164877288 | Jurim Dental Group | Dentist | 370 Crossways Park Dr, Woodbury, NY 11797-2050 | 2016-04-26 |
| 1639544141 | Corsi Dental Associates | Dentist | 161 N Broad St, Woodbury, NJ 08096-1718 | 2015-12-09 |
| 1477929008 | Avra Miriam Louis | Dentist | 85 Woodlake Dr W, Woodbury, NY 11797-2304 | 2015-08-18 |
| 1205261195 | City Center Dental, L.L.C. | Dentist | 8375 City Centre Dr, Woodbury, MN 55125-3324 | 2013-09-10 |
| 1518231596 | Woodbury Dental Arts Pa | Dentist | 2070 Eagle Creek Ln, Woodbury, MN 55129-3216 | 2012-03-08 |
| 1134497621 | Alan Jeffrey Wilensky | Dentist | 2 Hunters Run, Woodbury, NY 11797-1100 | 2011-12-12 |
| 1942583265 | Daniel Patrick Ehrmanntraut | Dentist | 7582 Currell Blvd Ste 210, Woodbury, MN 55125-8210 | 2011-09-22 |
| Find all providers in WOODBURY | ||||
Please comment or provide details below to improve the information on DR. REBECCA J PETERSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.