DR. NATHANIEL J PETERSON DMD
NPI 1871489047
Dentist in Edwardsville, IL

Q: What is Nathaniel Peterson's NPI number?

The NPI number for Nathaniel Peterson is 1871489047. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Q: What is Nathaniel Peterson's specialty?

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

Active since June 16, 2025

1403B TROY RD STE B, EDWARDSVILLE, IL 62025(618) 656-2277(618) 656-7732 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Nathaniel J Peterson Dmd NPPES

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

DR. NATHANIEL J PETERSON DMD (NPI 1871489047) is an individual dentist in Edwardsville, Illinois, licensed in Illinois (019036159) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1871489047

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. NATHANIEL J PETERSONCredential: DMD

Location Address1403B TROY RD STE BEdwardsville, IL 62025-2532

Mailing Address837 Madison AveEdwardsville, IL 62025-2323 · (630) 618-9211

Phone(618) 656-2277

Fax(618) 656-7732

Sole ProprietorYes

Enumeration DateJune 16, 2025

NPPES CertifiedJune 16, 2025

✔ NPI 1871489047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019036159

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.

1403B TROY RD STE B, Edwardsville, IL 62025

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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 Nathaniel Peterson's NPI number?

The NPI number for Nathaniel Peterson is 1871489047. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Nathaniel Peterson located?

Nathaniel Peterson practices at 1403B Troy Rd Ste B, Edwardsville, IL 62025. The listed phone number is (618) 656-2277.

What is Nathaniel Peterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Nathaniel Peterson was last updated on June 16, 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.