Dr. Kelissa L Peterson is a Streator, Illinois based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kelissa L Peterson is 019032290 for General Practice Dentistry in Illinois. Her current practice location is 318 N Bloomington St, Streator. Patients can reach her at 815-672-2647.
Dr. Kelissa L Peterson is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kelissa L 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. Kelissa L Peterson
Specialization:
Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
318 N Bloomington St, Streator, Illinois, 61364-2218
Phone:
815-672-2647
Fax:
815-672-5201
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:
1861047284
NPI Enumeration Date:
02 Aug, 2019
NPI Last Update On:
02 Aug, 2019
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. Kelissa L Peterson are as mentioned below.
License Number
Specialization
State
Status
019032290
General Practice Dentistry
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2632 N 3739th Rd, Sheridan, Illinois
Zip:
60551-9474
Phone Number:
815-207-9735
Patients can reach Dr. Kelissa L Peterson at 318 N Bloomington St, Streator, Illinois or can call to book an appointment on 815-672-2647. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.