Dr. John Terrance Peterson
DDS | Dentist
200 East Court Street, Suite 504, Kankakee
Illinois, 60901-3847
815-932-3613 815-932-5332
Maps & DirectionsDr. John Terrance Peterson is a Kankakee, Illinois based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. John Terrance Peterson is
19A14762 for General Practice Dentistry in Illinois. His current practice location is
200 East Court Street, Suite 504, Kankakee. Patients can reach him at
815-932-3613.
Dr. John Terrance Peterson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. John Terrance 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: | Dr. John Terrance Peterson |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 200 East Court Street, Suite 504, Kankakee,
Illinois, 60901-3847 |
| Phone: | 815-932-3613 |
| Fax: | 815-932-5332 |
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: | 1720035702 |
| NPI Enumeration Date: | 27 May, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John Terrance Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| 19A14762 | General Practice Dentistry | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. John Terrance Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 021076 | Other | Illinois | FIRST COMMONWEALTH |
| 606970 | Other | Illinois | UNITED CONCORDIA |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 200 East Court Street, Suite 504
Kankakee, Illinois |
| Zip: | 60901-3847 |
| Phone Number: | 815-932-3613 |
| Fax Number: | 815-932-5332 |
Patients can reach Dr. John Terrance Peterson at
200 East Court Street, 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.