Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collin B Peterson DMD Dentistry PLLC

Organization General Practice Dentistry · NPI 1447059019

Collin B Peterson DMD Dentistry PLLC is a General Practice Dentistry in Diberville, Mississippi. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10409 Boney Ave
Diberville, MS 39540-4813
Phone: (228) 216-7853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1447059019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Collin Peterson — Dentist/Owner · (228) 216-7853
NPI enumeratedMarch 7, 2025
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address10409 Boney Ave, Diberville, MS 39540-4813

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