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AUTUMN PETERSON
NPI 1972490670
Dentist in Elmhurst, IL

Active since June 23, 2025
360 N YORK ST, ELMHURST, IL 60126(630) 941-9299 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Autumn Peterson NPPES

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

AUTUMN PETERSON (NPI 1972490670) is an individual dentist in Elmhurst, Illinois, licensed in Illinois (019.036140) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1972490670
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameAUTUMN PETERSON
Location Address360 N YORK STElmhurst, IL 60126-2376
Mailing Address117 S Quincy StHinsdale, IL 60521-3012 · (715) 904-0080
Phone(630) 941-9299
Sole ProprietorNo
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1972490670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.036140
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.
360 N YORK ST, Elmhurst, IL 60126
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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.

DONALD WAYNE SANDELL D.D.S.
Dentist (General Practice)
360 N YORK ST
ELMHURST, IL 60126
Dupage County (630) 941-9299
HADLEY K THURMON, DDS PC
Dentist (General Practice)
360 N YORK ST
ELMHURST, IL 60126
Dupage County (630) 941-9299
SANDELL DENTAL CARE, LTD.
Dentist
360 N YORK ST
ELMHURST, IL 60126
Dupage County (630) 941-9299

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 Autumn Peterson's NPI number?

The NPI number for Autumn Peterson is 1972490670. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Autumn Peterson located?

Autumn Peterson practices at 360 N York St, Elmhurst, IL 60126. The listed phone number is (630) 941-9299.

What is Autumn 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 Autumn Peterson was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.