Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PETERSON DENTAL CARE LLC
NPI 1316430952
Clinic/Center - Dental in Springfield, IL

Active since June 08, 2018
2501 W ILES AVE STE A, SPRINGFIELD, IL 62704(217) 787-4015 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peterson Dental Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETERSON DENTAL CARE LLC (NPI 1316430952) is a healthcare organization registered as a dental in Springfield, Illinois and active in the NPI registry since June 2018. The organization lists James Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1316430952
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePETERSON DENTAL CARE LLC
Location Address2501 W ILES AVE STE ASpringfield, IL 62704-6482
Mailing Address2501 W Iles Ave Ste ASpringfield, IL 62704-6482 · (217) 787-4015 · Fax (217) 787-9950
Organization SubpartNo
Authorized OfficialJames PetersonOwner · (630) 780-9964
Enumeration DateJune 8, 2018
Last NPPES UpdateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
NPI 1316430952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in IL · 019029045
2501 W ILES AVE STE A, Springfield, IL 62704

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2501 W ILES AVE STE A
SPRINGFIELD, IL 62704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peterson Dental Care LLC's NPI number?

The NPI number for Peterson Dental Care LLC is 1316430952. It was assigned to this organization in the NPPES registry on June 8, 2018.

Where is Peterson Dental Care LLC located?

Peterson Dental Care LLC is located at 2501 W Iles Ave Ste A, Springfield, IL 62704. The listed phone number is (217) 787-4015.

What is Peterson Dental Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Peterson Dental Care LLC was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.