Search › Illinois › 1223S0112X
David Peterson, DDS
NPI 1215410584 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1619 Brandywine Ln
Dixon, IL 61021 - Phone
- (815) 622-4740
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois