Individual provider · Type 1 NPI

Austin M. Peterson, DDS

Dentist · Indianapolis, IN

NPI number 1639650187 Active

Practice location

3935 E Southport Rd
Indianapolis, IN 46237-3203

Mailing address

1616 Rolling Hills Dr
Crystal Lake, IL 60014-2969

Other practice locations

  • 3809 Oakwood Mall Dr, Eau Claire, WI 54701-3042 · (715) 835-5300

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X1001921-15 (WI)
Dentist Primary 122300000X12013338A (IN)

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 1639650187

Austin M. Peterson, DDS's National Provider Identifier is 1639650187, issued on Aug 23, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 19, 2020.