Collin Peterson, DMD

NPI 1689241697 · on the registry since 2021 · sole proprietor

Practice

Address: 10409 Boney Ave
Diberville, MS 39540
Phone: (228) 809-8822
Fax: (228) 400-1240
Organisation at this address: Steven K Miner
Back Bay Family Dentistry
Collin B Peterson Dmd Dentistry Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-02-12

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 Mississippi