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DR. COLLIN PETERSON DMD
NPI 1689241697
Dentist in Diberville, MS

Active since June 08, 2021
10409 BONEY AVE, DIBERVILLE, MS 39540(228) 809-8822(228) 400-1240 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Collin Peterson Dmd NPPES

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

DR. COLLIN PETERSON DMD (NPI 1689241697) is an individual dentist in Diberville, Mississippi, licensed in Mississippi (4197-21) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1689241697
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. COLLIN PETERSONCredential: DMD
Location Address10409 BONEY AVEDiberville, MS 39540-4813
Mailing Address10409 Boney AveDiberville, MS 39540-4813 · (228) 809-8822 · Fax (228) 400-1240
Phone(228) 809-8822
Fax(228) 400-1240
Sole ProprietorYes
Enumeration DateJune 8, 2021
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1689241697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MS · 4197-21
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
10409 BONEY AVE, Diberville, MS 39540
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

STEVEN K MINER
Dentist
10409 BONEY AVE
DIBERVILLE, MS 39540
Harrison County (228) 424-0145
BACK BAY FAMILY DENTISTRY
Dentist (General Practice)
10409 BONEY AVE
DIBERVILLE, MS 39540
Harrison County (228) 392-0509
COLLIN B PETERSON DMD DENTISTRY PLLC
Dentist (General Practice)
10409 BONEY AVE
DIBERVILLE, MS 39540
Harrison County (228) 216-7853

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 Collin Peterson's NPI number?

The NPI number for Collin Peterson is 1689241697. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Collin Peterson located?

Collin Peterson practices at 10409 Boney Ave, Diberville, MS 39540. The listed phone number is (228) 809-8822.

What is Collin Peterson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Collin Peterson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 11 other insurers list Collin 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 Collin Peterson was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.