Individual provider · Type 1 NPI

Collin Peterson, DMD

Dentist · Diberville, MS

NPI number 1689241697 Active

Practice location

10409 Boney Ave
Diberville, MS 39540-4813

Fax (228) 400-1240

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X4197-21 (MS)

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 1689241697

Collin Peterson, DMD's National Provider Identifier is 1689241697, issued on Jun 8, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Diberville, MS. The record was last updated on Feb 12, 2026.