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

David Peterson, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1215410584

David Peterson, DDS is an Oral and Maxillofacial Surgery (Dentist) in Dixon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1619 Brandywine Ln
Dixon, IL 61021-8757
Phone: (815) 622-4740
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 021001236 (IL)

Record details

NPI number1215410584
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 12, 2018
Last updated in NPPESSeptember 12, 2018
Mailing address1619 Brandywine Ln, Dixon, IL 61021-8757