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

Dr. Austin M Peterson, DDS

Individual provider Dentist · NPI 1639650187

Dr. Austin M Peterson, DDS is a Dentist in Indianapolis, Indiana. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana and Wisconsin.

Licensed in
IN, WI
In the registry since
2018
Specialties on file
2
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.

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Practice location Address checks out

3935 E Southport Rd
Indianapolis, IN 46237-3203
Phone: (317) 244-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3809 Oakwood Mall Dr, Eau Claire, WI 54701-3042 — (715) 835-5300

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12013338A (IN)
Dentist Taxonomy 122300000X · Licence 1001921-15 (WI)

Record details

NPI number1639650187
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 23, 2018
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020
Mailing address1616 Rolling Hills Dr, Crystal Lake, IL 60014-2969

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