Organization · Type 2 NPI
Peterson Dental Care LLC
Dental Clinic/Center · Springfield, IL
NPI number
1316430952
Active
Practice location
2501 W Iles Ave Ste A
Springfield, IL 62704-6482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019029045 (IL) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1316430952
Peterson Dental Care LLC's National Provider Identifier is 1316430952, issued on Jun 8, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Springfield, IL. The record was last updated on Jul 23, 2026.