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KATIE D. PETERSON, DDS, PC
NPI 1326301359
Dentist - General Practice in Mountain Grove, MO

Active since June 25, 2012
920 N MAIN ST, MOUNTAIN GROVE, MO 65711(417) 926-4910(417) 926-4399 Get Directions Write a Review

NPPES record last updated: June 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie D. Peterson, Dds, Pc NPPES

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

KATIE D. PETERSON, DDS, PC (NPI 1326301359) is a healthcare organization registered as a general practice in Mountain Grove, Missouri and active in the NPI registry since June 2012. The organization lists Katie Dawn Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1326301359
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKATIE D. PETERSON, DDS, PC
Location Address920 N MAIN STMountain Grove, MO 65711-1315
Mailing Address920 N Main StMountain Grove, MO 65711-1315 · (417) 926-4910 · Fax (417) 926-4399
Phone(417) 926-4910
Fax(417) 926-4399
Organization SubpartNo
Authorized OfficialKatie Dawn PetersonPresident · (417) 926-4910
Enumeration DateJune 25, 2012
✔ NPI 1326301359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2012015429
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
920 N MAIN ST, Mountain Grove, MO 65711
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

KATIE DAWN PETERSON D.D.S
Dentist (General Practice)
920 N MAIN ST
MOUNTAIN GROVE, MO 65711
Wright County (417) 926-4910

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 Katie D. Peterson, Dds, PC's NPI number?

The NPI number for Katie D. Peterson, Dds, PC is 1326301359. It was assigned to this organization in the NPPES registry on June 25, 2012.

Where is Katie D. Peterson, Dds, PC located?

Katie D. Peterson, Dds, PC is located at 920 N Main St, Mountain Grove, MO 65711. The listed phone number is (417) 926-4910.

What is Katie D. Peterson, Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Katie D. Peterson, Dds, PC was last updated on June 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.