Organization · Type 2 NPI

Nathaniel J Peterson DMD PLLC

General Practice Dentistry · Edwardsville, IL

NPI number 1295647972 Active

Practice location

1403 Troy Rd Ste B
Edwardsville, IL 62025-2590

Call (630) 618-9211 Map

Mailing address

837 Madison Ave
Edwardsville, IL 62025-2323

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

2 other providers at this address

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About NPI 1295647972

Nathaniel J Peterson DMD PLLC's National Provider Identifier is 1295647972, issued on Sep 18, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Edwardsville, IL. The record was last updated on Sep 18, 2026.