EDWIN ROY PETERSON DDS
NPI 1922012061
Dentist in Nevada, MO

Q: What is Edwin Peterson's NPI number?

The NPI number for Edwin Peterson is 1922012061. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Edwin Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edwin 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 July 27, 2006

629 S MAIN ST, NEVADA, MO 64772(417) 667-3134 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Edwin Roy Peterson Dds NPPES

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

EDWIN ROY PETERSON DDS (NPI 1922012061) is an individual dentist in Nevada, Missouri, licensed in Missouri (12736) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1922012061

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameEDWIN ROY PETERSONCredential: DDS

Location Address629 S MAIN STNevada, MO 64772-3555

Mailing Address629 S Main StNevada, MO 64772-3555 · (417) 667-3134

Phone(417) 667-3134

Sole ProprietorYes

Enumeration DateJuly 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1922012061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 12736

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.

629 S MAIN ST, Nevada, MO 64772

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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 Edwin Peterson's NPI number?

The NPI number for Edwin Peterson is 1922012061. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Edwin Peterson located?

Edwin Peterson practices at 629 S Main St, Nevada, MO 64772. The listed phone number is (417) 667-3134.

What is Edwin 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 Edwin 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.