Ryan Peterson, D.M.D.

General Practice Dentistry · La Grange Park, IL

Individual Active NPI

NPI number 1841676764

Practice location

360 Sherwood Rd
La Grange Park, IL 60526-1967
Phone
(708) 354-7363

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NPI record

NPI
1841676764
Entity type
Individual (Type 1)
Enumeration date
August 3, 2015
Last updated
June 24, 2026
Certified
June 24, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.030355 IL

About Dr. Peterson

Ryan Peterson, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 360 Sherwood Rd, La Grange Park, IL 60526-1967. The NPI number 1841676764 was assigned on August 3, 2015 and the record was last updated on June 24, 2026.

Dr. Peterson lists a license in the registry: #019.030355 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Peterson, D.M.D.?

The NPI number is 1841676764.

What is the phone number of Dr. Peterson?

The phone number listed for the practice location is (708) 354-7363.

Where is Dr. Peterson located?

360 Sherwood Rd, La Grange Park, IL 60526-1967.

What is the taxonomy code for Dr. Peterson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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