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

Dr. Alan Clark Peterson Sr., DMD

Individual provider Public Health Dentistry · NPI 1174975429

Dr. Alan Clark Peterson Sr., DMD is a Public Health Dentistry in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

601 McDonough Blvd SE
Atlanta, GA 30315-4400
Phone: (404) 635-5462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health Dentistry (primary) Taxonomy 1223D0001X · Licence 015796 (MO)

Record details

NPI number1174975429
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 11, 2016
Last updated in NPPESJuly 11, 2016

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