Individual provider · Type 1 NPI

Autumn Peterson

Dentist · Elmhurst, IL

NPI number 1972490670 Active

Practice location

360 N York St
Elmhurst, IL 60126-2376

Mailing address

117 S Quincy St
Hinsdale, IL 60521-3012

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.036140 (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 1972490670

Autumn Peterson's National Provider Identifier is 1972490670, issued on Jun 23, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Elmhurst, IL. The record was last updated on Jun 23, 2025.