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

Peterson Dental Care LLC

Organization Dental Clinic/Center · NPI 1316430952

Peterson Dental Care LLC is a Dental Clinic/Center in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2501 W Iles Ave Ste A
Springfield, IL 62704-6482
Phone: (217) 787-4015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 019029045 (IL)

Record details

NPI number1316430952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Peterson — Owner · (630) 780-9964
NPI enumeratedJune 8, 2018
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address2501 W Iles Ave Ste A, Springfield, IL 62704-6482

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