Peterson Dental Care LLC
NPI #1316430952 in Springfield, Illinois
Provider Information
- NPI Number
- 1316430952
- Entity Type
- Organization
- Organization Name
- Peterson Dental Care LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 8, 2018
- Last Updated
- Apr 16, 2025
Practice Location
- Address
- 2501 W ILES AVE STE A
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6482
- Phone
- (217) 787-4015
Authorized Official
- Name
- JAMES PETERSON, DDS
- Title
- OWNER
- Phone
- (630) 780-9964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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