Dr. Stanley G Peterson , DDS
Dentist - General Practice • Milaca, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stanley Peterson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Stanley Peterson, DDS was a registered Dentist - General Practice practicing in Milaca, MN. Throughout an active medical career spanning 19 years, Dr. Peterson provided care at the practice location at 130 2ND AVE SW until profile deactivation on 2026-06-11.
Practice Location & Contact Primary Location
130 2nd Ave Sw
Milaca, MN 563531106
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Milaca, MN
Practicing in Milaca, MN (2262 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 11, 2026
NPI status registered as active in NPPES database
Registered at 130 2ND AVE SW, MILACA, MN 563531106 (Tel: 3209826600)
Registered at 320 CENTRAL AVE N, MILACA, MN 563531538 (Tel: 3209822360)
Recorded as STANLEY PETERSON, D.D.S.
Dentist (License #D8194 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
320 Central Ave N
Milaca, MN 563531538
Phone: 3209822360
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