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

Steven R Peterson, DDSSC

Individual provider General Practice Dentistry · NPI 1043485865

Steven R Peterson, DDSSC is a General Practice Dentistry in Menomonie, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2008

Practice location Address checks out

1700 Tainter St Ste A
Menomonie, WI 54751-8200
Phone: (715) 235-4291
Fax: (715) 235-4292
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 6154-015 (WI)

Record details

NPI number1043485865
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSSC
Sole proprietorYes
NPI enumeratedApril 23, 2008
Last updated in NPPESMay 26, 2015
Mailing address1700 Tainter St, Suite A, Menomonie, WI 54751-8200

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