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

Dr. John Terrance Peterson, DDS

Individual provider General Practice Dentistry · NPI 1720035702

Dr. John Terrance Peterson, DDS is a General Practice Dentistry in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

200 E Court St Ste 504
Kankakee, IL 60901-3847
Phone: (815) 932-3613
Fax: (815) 932-5332
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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 19A14762 (IL)

Record details

NPI number1720035702
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESJuly 13, 2026

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