John T Peterson Dds Pc is a Dental Clinic in Kankakee, Illinois. It is located at 200 E Court St, Suite 504, Kankakee, IL and its contact number is 815-932-3613. The authorized person for John T Peterson Dds Pc is John T Peterson
who is Dentist of the clinic and their contact number is 815-932-3613. Other organizations associated with this clinic are Al Weatherford Dds Inc, John T Peterson Dds Pc, The primary license number for John T Peterson Dds Pc is 19A14762 (Dentist) in Illinois.
John T Peterson Dds Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
John T Peterson Dds Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | John T Peterson Dds Pc |
| Specialization: | Dentistry |
| Clinic Address: | 200 E Court St, Suite 504, Kankakee, Illinois, 60901-3843 |
| Phone: | 815-932-3613 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | John T Peterson |
| Position: | Dentist |
| Contact Number: | 815-932-3613 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for John T Peterson Dds Pc clinic are as mentioned below.
| NPI Number: | 1437436664 |
| NPI Enumeration Date: | 16 Nov, 2011 |
| NPI Last Update On: | 16 Nov, 2011 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Al Weatherford Dds Inc | General Practice Dentistry | 1396185633 |
| John T Peterson Dds Pc | Dentistry | 1437436664 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John T Peterson Dds Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 19A14762 | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1003311 | Medicaid | Illinois | |
| 606970 | Other | Illinois | United Concordia |
| 021076 | Other | Illinois | First Commonwealth |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | John T Peterson Dds Pc 200 E Court St, Suite 504 Kankakee, Illinois |
| Zip: | 60901-3843 |
| Phone Number: | 815-932-3613 |
Patients can reach John T Peterson Dds Pc at
200 E Court St, Suite 504, Kankakee, Illinois or can
call to book an appointment on 815-932-3613.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.