Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194456822 Individual Practitioner Female Practitioner

Dr. Malory Peterson , DDS

Dentist - General Practice • Northfield, MN

Professional Overview & Biography Verified Profile Summary

Dr. Malory Peterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Northfield, MN. Practice services are available at 1501 CLINTON LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1501 Clinton Ln

Northfield, MN 550573295

Telephone 5076455264
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Northfield, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Northfield, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D14784

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Becky Johnson , DDS

Dentist - General Practice

NPI 1134133309

Doctor of Dental Surgery

Dr. Jerome Appeldoorn , DDS

Dentist - General Practice

NPI 1154345247

Doctor of Dental Surgery

NPI 1154615847

Doctor of Dental Surgery

NPI 1427942705

Doctor of Dental Surgery

Dr. John Noack , DDS

Dentist - General Practice

NPI 1831103001

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2022

Registered at 1501 CLINTON LN, NORTHFIELD, MN 550573295 (Tel: 5076455264)

📍
Updated Business Mailing Address June 22, 2022

Registered at 2030 SIBLEY VIEW CT, NORTHFIELD, MN 550573206 (Tel: 5072591082)

👤
Provider Name / Credentials Updated June 22, 2022

Recorded as MALORY PETERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2022

Dentist (License #D14784 in MN)

🟢
Initial NPI Registration & Enumeration June 22, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194456822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2022
Last Update: June 22, 2022
Sole Proprietor: No

Mailing Address

2030 Sibley View Ct

Northfield, MN 550573206

Phone: 5072591082

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.