John T Peterson DDS PC

Dentist · Kankakee, IL

Organization Active NPI

NPI number 1437436664

Practice location

200 E Court St
Suite 504
Kankakee, IL 60901-3843
Phone
(815) 932-3613

Open in Google Maps

NPI record

NPI
1437436664
Entity type
Organization (Type 2)
Enumeration date
November 16, 2011
Last updated
November 16, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 19A14762 IL

Authorized official

Name
John T Peterson, DDS
Title
Dentist
Phone
(815) 932-3613

About John T Peterson DDS PC

John T Peterson DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 200 E Court St, Suite 504, Kankakee, IL 60901-3843. The NPI number 1437436664 was assigned on November 16, 2011 and the record was last updated on November 16, 2011.

John T Peterson DDS PC lists a license in the registry: #19A14762 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is John T Peterson, DDS, Dentist.

Frequently asked questions

What is the NPI number of John T Peterson DDS PC?

The NPI number is 1437436664.

What is the phone number of John T Peterson DDS PC?

The phone number listed for the practice location is (815) 932-3613.

Where is John T Peterson DDS PC located?

200 E Court St, Suite 504, Kankakee, IL 60901-3843.

What is the taxonomy code for John T Peterson DDS PC?

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.

Other Dentist providers in Kankakee

All Dentist providers in Kankakee, IL →