Individual provider · Type 1 NPI
John Terrance Peterson, DDS
General Practice Dentistry · Kankakee, IL
NPI number
1720035702
Active
Practice location
200 East Court Street, Suite 504
Kankakee, IL 60901-3847
Fax (815) 932-5332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 19A14762 (IL) |
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.
Another provider at this address
Other general practice dentistry providers in Kankakee
- Syreeta C. Jones, DDSGeneral Practice Dentistry Kankakee, IL NPI 1184638249
- Raffi K. Leblebijian, DDSGeneral Practice Dentistry Kankakee, IL NPI 1376594754
- Bruce Alan Lacoste, DDSGeneral Practice Dentistry Kankakee, IL NPI 1689792012
- J Michael Krisko, DDSGeneral Practice Dentistry Kankakee, IL NPI 1710034574
About NPI 1720035702
John Terrance Peterson, DDS's National Provider Identifier is 1720035702, issued on May 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kankakee, IL. The record was last updated on Jul 13, 2026.