Individual provider · Type 1 NPI
Kelissa L. Peterson, DMD
General Practice Dentistry · Streator, IL
NPI number
1861047284
Active
Practice location
318 N Bloomington St
Streator, IL 61364-2218
Fax (815) 672-5201
Mailing address
2632 N 3739th Rd
Sheridan, IL 60551-9474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019032290 (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.
3 other providers at this address
Other general practice dentistry providers in Streator
About NPI 1861047284
Kelissa L. Peterson, DMD's National Provider Identifier is 1861047284, issued on Aug 2, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Streator, IL. The record was last updated on Aug 2, 2019.