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

Dr. Nathaniel J Peterson, DMD

Individual provider Dentist · NPI 1871489047

Dr. Nathaniel J Peterson, DMD is a Dentist in Edwardsville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1403B Troy Rd Ste B
Edwardsville, IL 62025-2532
Phone: (618) 656-2277
Fax: (618) 656-7732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019036159 (IL)

Record details

NPI number1871489047
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

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