DR. John Terrance Peterson, DDS

NPI #1720035702 in Kankakee, Illinois

Provider Information

NPI Number: 1720035702
Entity Type: Individual
Name: DR. John Terrance Peterson, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 200 EAST COURT STREET
Address 2: SUITE 504
City: Kankakee
State: Illinois
ZIP Code: 60901-3847
Phone: (815) 932-3613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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Kankakee School District 111 School-Based Health Center	Dentist - General Practice	Kankakee	AI Deep Dive

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