Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Scott Mathew Peterson, DDS, MS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1134396336

Dr. Scott Mathew Peterson, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

111 N Regency Dr
Bloomington, IL 61701-3515
Phone: (309) 662-5331
Fax: (309) 663-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 021-002109 (IL)

Record details

NPI number1134396336
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorNo
NPI enumeratedMay 15, 2008
Last updated in NPPESMay 15, 2008

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