DR. DONALD C PETERSON JR. DDS
NPI 1417030057
Dentist - Pediatric Dentistry in Coralville, IA

Active since October 24, 2006
501 12TH AVE, SUITE 202, CORALVILLE, IA 52241(319) 351-5439(319) 354-0491 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Donald C Peterson Jr. Dds NPPES

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

DR. DONALD C PETERSON JR. DDS (NPI 1417030057) is an individual pediatric dentistry provider in Coralville, Iowa, licensed in Iowa (08193) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1417030057
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. DONALD C PETERSON JR.Credential: DDS
Location Address501 12TH AVE, SUITE 202Coralville, IA 52241
Mailing Address501 12th Ave, Suite 202Coralville, IA 52241 · (319) 351-5439 · Fax (319) 354-0491
Fax(319) 354-0491
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417030057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IA · 08193
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
501 12TH AVE, Coralville, IA 52241

Accepted Insurance

Other Providers at the Same Location NPPES 12

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

Specialist
501 12TH AVE, SUITE 102
CORALVILLE, IA 52241
Dentist (Periodontics)
501 12TH AVE, SUITE 202
CORALVILLE, IA 52241
Dentist (General Practice)
501 12TH AVE, SUITE 200
CORALVILLE, IA 52241
Acupuncturist
501 12TH AVE, SUITE 102
CORALVILLE, IA 52241
Clinic/Center
501 12TH AVE, SUITE 203
CORALVILLE, IA 52241
Dentist (Pediatric Dentistry)
501 12TH AVE, SUITE 202
CORALVILLE, IA 52241
Dermatology
501 12TH AVE, SUITE 101
CORALVILLE, IA 52241
Dermatology
501 12TH AVE, SUITE 101
CORALVILLE, IA 52241

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 Donald Peterson's NPI number?

The NPI number for Donald Peterson is 1417030057. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Donald Peterson located?

Donald Peterson practices at 501 12th Ave Suite 202, Coralville, IA 52241. The listed phone number is (319) 351-5439.

What is Donald Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Donald Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Donald Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.