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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1053302075

Tony Leroy Peterson, DDS is an Oral and Maxillofacial Surgery (Dentist) in Colorado Springs, Colorado. Licensed in Colorado and Wyoming. Registered with an NPI since 2005.

Licensed in
CO, WY
In the registry since
2005
Specialties on file
2
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

1050 S 8th St
Colorado Springs, CO 80905-7307
Phone: (719) 633-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 10364 (CO)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 1236 (WY)

Record details

NPI number1053302075
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESJanuary 29, 2014

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