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Valley Oral & Facial Surgery PC

NPI 1093133696ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Grand Forks, ND

Dentist, Oral and Maxillofacial Surgery in Grand Forks, North Dakota, registered in NPPES in April 2014. The authorized official on file is Troy Richard Petersen, DMD MD, President.

Overview

NPI1093133696
StatusActive
Entity typeOrganization
NPI issuedApr 1, 2014
Last updated in NPPESMay 19, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Oral and Maxillofacial Surgery Primary1223S0112X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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