Kyle W. Peterson, DDS

Dentist · Moline, IL

Individual Active NPI

NPI number 1285947259

Practice location

609 22ND St
Moline, IL 61265-1450
Phone
(309) 797-2001

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NPI record

NPI
1285947259
Entity type
Individual (Type 1)
Enumeration date
July 20, 2010
Last updated
September 21, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 08753 IA

About Dr. Peterson

Kyle W. Peterson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 609 22ND St, Moline, IL 61265-1450. The NPI number 1285947259 was assigned on July 20, 2010 and the record was last updated on September 21, 2011.

Dr. Peterson lists a license in the registry: #08753 (IA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle W. Peterson, DDS?

The NPI number is 1285947259.

What is the phone number of Dr. Peterson?

The phone number listed for the practice location is (309) 797-2001.

Where is Dr. Peterson located?

609 22ND St, Moline, IL 61265-1450.

What is the taxonomy code for Dr. Peterson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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