Individual provider · Type 1 NPI
Nathaniel J. Peterson, DMD
Dentist · Edwardsville, IL
Practice location
1403B Troy Rd Ste B
Edwardsville, IL 62025-2532
Fax (618) 656-7732
Mailing address
837 Madison Ave
Edwardsville, IL 62025-2323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 019036159 (IL) |
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 1871489047
Nathaniel J. Peterson, DMD's National Provider Identifier is 1871489047, issued on Jun 16, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Edwardsville, IL. The record was last updated on Jun 16, 2025.