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

Dr. Benjamin Robert Peterson, DDS

Individual provider General Practice Dentistry · NPI 1801052915

Dr. Benjamin Robert Peterson, DDS is a General Practice Dentistry in Waterloo, Iowa. Licensed in Iowa and Minnesota. Registered with an NPI since 2008.

Licensed in
IA, MN
In the registry since
2008
Specialties on file
3
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

424 S St
Waterloo, IA 50701
Phone: (319) 234-2684
Fax: (319) 233-5974
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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 · Licence 08702 (IA)
General Practice Dentistry Taxonomy 1223G0001X · Licence D12600 (MN)
Dentist Taxonomy 122300000X · Licence D12600 (MN)

Record details

NPI number1801052915
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 29, 2008
Last updated in NPPESOctober 4, 2010
Mailing address424 South St., Waterloo, IA 50701

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