Individual provider · Type 1 NPI

Craig A. Peterson, D.M.D

Dentist · Kenosha, WI

NPI number 1467715474 Active

Practice location

6226 14th Ave
Kenosha, WI 53143-4413

Mailing address

1400 College Ave
Racine, WI 53403-1991

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X6941-15 (WI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1467715474

Craig A. Peterson, D.M.D's National Provider Identifier is 1467715474, issued on Jun 25, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Kenosha, WI. The record was last updated on Jun 25, 2012.