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Dr. Kelissa L Peterson, DMD
General Practice Dentistry in Streator, Illinois
NPI 1861047284

Kelissa L Peterson is a General Practice Dentistry based in Sheridan, IL and is specialized in General Practice. Kelissa L Peterson practices in Streator, IL and has the professional credentials of DMD. The NPI Number for Kelissa L Peterson is 1861047284 and holds a License No. 019032290 (Illinois).

The current practice location address for Kelissa L Peterson is 318 N Bloomington St, Streator, IL and can be reached out via phone at 815-672-2647 and via fax at 815-672-5201.

Location: 318 N Bloomington St, Streator, IL, 60551-9474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861047284
Provider Name
Kelissa L Peterson
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
318 N Bloomington St, Streator, IL, 60551-9474
Phone Number
815-672-2647
Fax Number
815-672-5201
Provider Enumeration Date
08/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
318 N Bloomington St
City
Streator
State
Illinois
Zip
61364-2218
Phone Number
815-672-2647
Fax Number
815-672-5201
person
Provider Business Mailing Address Details
Address
318 N Bloomington St
City
Streator
State
Illinois
Zip
61364-2218
Phone Number
815-672-2647
Fax Number
815-672-5201
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019032290 (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.
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