National Provider Identifier Database

JAMES PETERSON, DDS – NPI #1376806224
General Practice

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.


Contact Information

JAMES PETERSON, DDS
2501 W ILES AVE STE A
SPRINGFIELD, IL62704-6482
Phone: 217-452-3057
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Dental Public Health 1223D0001X

* Indicates primary specialty

NPI Profile & details for JAMES PETERSON

NPI Number 1376806224
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/15/2012
Last updated 03/04/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • IL License #: 019029045
  • IL Other: 019029045 ILLINOIS LICENSE NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JAMES PETERSON, DDS

There are currently no reviews for JAMES PETERSON, DDS


NPIdb - Home
v2.201