Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nathaniel J Peterson DMD PLLC

Organization General Practice Dentistry · NPI 1295647972

Nathaniel J Peterson DMD PLLC provides General Practice Dentistry in Edwardsville, Illinois. Registered with an NPI since 2026.

In the registry since
2026
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

1403 Troy Rd Ste B
Edwardsville, IL 62025-2590
Phone: (630) 618-9211
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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 number1295647972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathaniel Peterson — Dentist · (630) 618-9211
NPI enumeratedSeptember 18, 2026
Last updated in NPPESSeptember 18, 2026
Certification dateSeptember 18, 2026
Mailing address837 Madison Ave, Edwardsville, IL 62025-2323

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