| David Peterson, DDS | |
|
1619 Brandywine Ln, Dixon, IL 61021-8757 | |
| (815) 622-4740 | |
| Not Available |
| Full Name | David Peterson |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1619 Brandywine Ln, Dixon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215410584 | NPI | - | NPPES |
| 019017734 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 021001236 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Peterson, DDS 1619 Brandywine Ln, Dixon, IL 61021-8757 Ph: (815) 622-4740 | David Peterson, DDS 1619 Brandywine Ln, Dixon, IL 61021-8757 Ph: (815) 622-4740 |
Dr. James O Hey Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 724 N Brinton Ave, Dixon, IL 61021 Phone: 815-288-4731 Fax: 815-288-4939 | |
Dr. Thomas Edward Kruger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 304 S Peoria Ave, Dixon, IL 61021 Phone: 815-284-2720 Fax: 815-284-2720 | |
Dr. James J Grunauer, DDS PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 654 Reynoldswood Rd, Dixon, IL 61021 Phone: 815-288-4028 Fax: 815-564-0162 | |
Dr. Kim Lawrence Brokaw, D.D.S, Dentist Medicare: Medicare Enrolled Practice Location: 123 N Hennepin Ave, Dixon, IL 61021 Phone: 815-284-6807 | |
Dr. Shivani R Shah, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1355 N Galena Ave, Dixon, IL 61021 Phone: 815-284-1995 | |
Dr. Novin Pishevar, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 629 N Galena Ave Ste 230, Dixon, IL 61021 Phone: 630-828-1278 |