location
search-icon
person
David Peterson, DDS
Oral and Maxillofacial Surgery (Dentist) in Dixon, Illinois
NPI 1215410584

David Peterson is a Oral and Maxillofacial Surgery (Dentist) based in Dixon, IL and is specialized in Oral and Maxillofacial Surgery. David Peterson practices in Dixon, IL and has the professional credentials of DDS. The NPI Number for David Peterson is 1215410584 and holds a License No. 021001236 (Illinois).

The current practice location address for David Peterson is 1619 Brandywine Ln, Dixon, IL and can be reached out via phone at 815-622-4740.

Location: 1619 Brandywine Ln, Dixon, IL, 61021-8757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215410584
Provider Name
David Peterson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1619 Brandywine Ln, Dixon, IL, 61021-8757
Phone Number
815-622-4740
Fax Number
Provider Enumeration Date
09/12/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
019017734 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
1619 Brandywine Ln
City
Dixon
State
Illinois
Zip
61021-8757
Phone Number
815-622-4740
Fax Number
person
Provider Business Mailing Address Details
Address
1619 Brandywine Ln
City
Dixon
State
Illinois
Zip
61021-8757
Phone Number
815-622-4740
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
021001236 (Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.