location
search-icon
person
Dr. John Terrance Peterson, DDS
General Practice Dentistry in Kankakee, Illinois
NPI 1720035702

John Terrance Peterson is a General Practice Dentistry based in Kankakee, IL and is specialized in General Practice. John Terrance Peterson practices in Kankakee, IL and has the professional credentials of DDS. The NPI Number for John Terrance Peterson is 1720035702 and holds a License No. 19A14762 (Illinois).

The current practice location address for John Terrance Peterson is 200 East Court Street, Kankakee, IL and can be reached out via phone at 815-932-3613 and via fax at 815-932-5332.

Location: 200 East Court Street, Kankakee, IL, 60901-3847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720035702
Provider Name
John Terrance Peterson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
200 East Court Street, Kankakee, IL, 60901-3847
Phone Number
815-932-3613
Fax Number
815-932-5332
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
021076 01 IL FIRST COMMONWEALTH
606970 01 IL UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
200 East Court Street
City
Kankakee
State
Illinois
Zip
60901-3847
Phone Number
815-932-3613
Fax Number
815-932-5332
person
Provider Business Mailing Address Details
Address
200 East Court Street
City
Kankakee
State
Illinois
Zip
60901-3847
Phone Number
815-932-3613
Fax Number
815-932-5332
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19A14762 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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.