David Peterson is a Dixon, Illinois based Oral and Maxillofacial Surgeon who is specialized in Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of David Peterson is 021001236 for Oral and Maxillofacial Surgery in Illinois. His current practice location is 1619 Brandywine Ln, Dixon. Patients can reach him at 815-622-4740.
David Peterson deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
David Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
David Peterson
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1619 Brandywine Ln, Dixon, Illinois, 61021-8757
Phone:
815-622-4740
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 are as mentioned below.
NPI Number:
1215410584
NPI Enumeration Date:
12 Sep, 2018
NPI Last Update On:
12 Sep, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David Peterson are as mentioned below.
License Number
Specialization
State
Status
021001236
Oral and Maxillofacial Surgery
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with David Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
019017734
Other
Illinois
LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1619 Brandywine Ln, Dixon, Illinois
Zip:
61021-8757
Phone Number:
815-622-4740
Patients can reach David Peterson at 1619 Brandywine Ln, Dixon, Illinois or can call to book an appointment on 815-622-4740. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.