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

Dr. Collin Peterson, DMD

Individual provider Dentist · NPI 1689241697

Dr. Collin Peterson, DMD is a Dentist in Diberville, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

10409 Boney Ave
Diberville, MS 39540-4813
Phone: (228) 809-8822
Fax: (228) 400-1240
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4197-21 (MS)

Record details

NPI number1689241697
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 8, 2021
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address10409 Boney Ave, Diberville, MS 39540-4813

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