# DR. CARRIE N PETERSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538164165
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 11695 | MN | — |
| 1223G0001X | General Practice Dentistry | 1972 | ND | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 07/08/2007