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

Dr. Kelissa L Peterson, DMD

Individual provider General Practice Dentistry · NPI 1861047284

Dr. Kelissa L Peterson, DMD is a General Practice Dentistry in Streator, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
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

318 N Bloomington St
Streator, IL 61364-2218
Phone: (815) 672-2647
Fax: (815) 672-5201
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019032290 (IL)

Record details

NPI number1861047284
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 2, 2019

Other providers in Streator