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CORY PETERSON DDS
NPI 1699049627
Dentist - Pediatric Dentistry in Sioux Falls, SD

Active since March 08, 2012
3813 S KIWANIS CIR, SIOUX FALLS, SD 57105(605) 332-1095 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Jul 21, 2022, Jun 5, 2017 (3 updates tracked since 2017).

About Cory Peterson Dds NPPES

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

CORY PETERSON DDS (NPI 1699049627) is an individual pediatric dentistry provider in Sioux Falls, South Dakota, licensed in South Dakota (D1227) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1699049627
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameCORY PETERSONCredential: DDS
Location Address3813 S KIWANIS CIRSioux Falls, SD 57105-4266
Mailing Address3813 S Kiwanis CirSioux Falls, SD 57105-4266 · (605) 332-1095
Phone(605) 332-1095
Sole ProprietorNo
Enumeration DateMarch 8, 2012
Last NPPES UpdateMay 8, 20253 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1699049627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in SD · D1227
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.
Also ListedDentistTaxonomy 122300000X · License 7015 (NE)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R668 (MN)
3813 S KIWANIS CIR, Sioux Falls, SD 57105
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Other Providers at the Same Location NPPES 11

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

CHILDRENS DENTAL CENTER
Dentist (Pediatric Dentistry)
3813 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 332-1095
DR. JB SKIBINSKI DDS
Dentist (Pediatric Dentistry)
3813 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 332-1095
DR. MELVIN NEIL THALER DDS
Dentist (Pediatric Dentistry)
3813 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 332-1095
DR. SCOTT WESLEY GIBSON DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
3813 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 332-1235
SD SPECIALTY DENTAL SERVICES, LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
3813 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 332-1095
DR. JOE SCOTT OLSEN D.D.S.
Dentist (Pediatric Dentistry)
3813 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 332-1095
DR. SCOTT MICHAEL WEYERS DDS
Dentist (Pediatric Dentistry)
3813 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 332-1095
SD SPECIALTY DENTAL SERVICES, LLC
Dentist (Pediatric Dentistry)
3813 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 332-1095

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 Cory Peterson's NPI number?

The NPI number for Cory Peterson is 1699049627. It was assigned to this individual provider in the NPPES registry on March 8, 2012.

Where is Cory Peterson located?

Cory Peterson practices at 3813 S Kiwanis Cir, Sioux Falls, SD 57105. The listed phone number is (605) 332-1095.

What is Cory Peterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Cory Peterson was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.