Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.