DR. BRUCE A PETERSON D.D.S.
NPI 1518022912
Dentist - General Practice in Rock Island, IL

Q: What is Bruce Peterson's NPI number?

The NPI number for Bruce Peterson is 1518022912. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Q: What is Bruce Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bruce 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.

Active since December 26, 2006

2917 17TH ST, ROCK ISLAND, IL 61201(309) 788-6001(309) 788-6450 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Bruce A Peterson D.d.s. NPPES

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

DR. BRUCE A PETERSON D.D.S. (NPI 1518022912) is an individual general practice provider in Rock Island, Illinois, licensed in Illinois (A-13716) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1518022912

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRUCE A PETERSONCredential: D.D.S.

Location Address2917 17TH STRock Island, IL 61201-5382

Mailing Address2917 17th StRock Island, IL 61201-5382 · (309) 788-6001 · Fax (309) 788-6450

Phone(309) 788-6001

Fax(309) 788-6450

Sole ProprietorNo

Enumeration DateDecember 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1518022912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · A-13716

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.

2917 17TH ST, Rock Island, IL 61201

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

AMY C SENH D.D.S.

Dentist (General Practice)

2917 17TH ST
ROCK ISLAND, IL 61201

Rock Island County (309) 788-6001

DR. LEANNE P THATCHER DDS LLC

Clinic/Center (Dental)

2917 17TH ST
ROCK ISLAND, IL 61201

Rock Island County (309) 788-3900

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 Bruce Peterson's NPI number?

The NPI number for Bruce Peterson is 1518022912. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Bruce Peterson located?

Bruce Peterson practices at 2917 17th St, Rock Island, IL 61201. The listed phone number is (309) 788-6001.

What is Bruce Peterson'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 Bruce 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.