David Peterson, DDS - Dentist in Dixon, IL

David Peterson, DDS is a Dentist - Oral And Maxillofacial Surgery based in Dixon, Illinois. David Peterson is licensed to practice in Illinois (license number 021001236) and his current practice location is 1619 Brandywine Ln, Dixon, Illinois. He can be reached at his office (for appointments etc.) via phone at (815) 622-4740.

NPI number for David Peterson is 1215410584 and his current mailing address is 1619 Brandywine Ln, Dixon, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215410584.

Contact Information

David Peterson, DDS
1619 Brandywine Ln,
Dixon, IL 61021-8757
(815) 622-4740
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDavid Peterson
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location1619 Brandywine Ln, Dixon, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215410584
  • Provider Enumeration Date: 09/12/2018
  • Last Update Date: 09/12/2018

Medical Identifiers

Medical identifiers for David Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215410584NPI-NPPES
019017734OtherILLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 021001236 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Peterson, DDS
1619 Brandywine Ln,
Dixon, IL 61021-8757

Ph: (815) 622-4740
David Peterson, DDS
1619 Brandywine Ln,
Dixon, IL 61021-8757

Ph: (815) 622-4740

Reviews and Comments


Dentist in Dixon, IL

Dr. James O Hey Jr., DDS
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Practice Location: 724 N Brinton Ave, Dixon, IL 61021
Phone: 815-288-4731    Fax: 815-288-4939
Dr. Thomas Edward Kruger, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 304 S Peoria Ave, Dixon, IL 61021
Phone: 815-284-2720    Fax: 815-284-2720
Dr. James J Grunauer, DDS PC
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Medicare: Not Enrolled in Medicare
Practice Location: 654 Reynoldswood Rd, Dixon, IL 61021
Phone: 815-288-4028    Fax: 815-564-0162
Dr. Kim Lawrence Brokaw, D.D.S,
Dentist
Medicare: Medicare Enrolled
Practice Location: 123 N Hennepin Ave, Dixon, IL 61021
Phone: 815-284-6807    
Dr. Shivani R Shah, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 1355 N Galena Ave, Dixon, IL 61021
Phone: 815-284-1995    
Dr. Novin Pishevar, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 629 N Galena Ave Ste 230, Dixon, IL 61021
Phone: 630-828-1278    

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