| Dr Scott Mathew Peterson, DDS, MS | |
|
111 N Regency Dr, Bloomington, IL 61701-3515 | |
| (309) 662-5331 | |
| (309) 663-1112 |
| Full Name | Dr Scott Mathew Peterson |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 111 N Regency Dr, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134396336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021-002109 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Mathew Peterson, DDS, MS 111 N Regency Dr, Bloomington, IL 61701-3515 Ph: (309) 662-5331 | Dr Scott Mathew Peterson, DDS, MS 111 N Regency Dr, Bloomington, IL 61701-3515 Ph: (309) 662-5331 |
Dr. Michael Allen Pauley, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2103 E Washington St, Suite 3, Bloomington, IL 61701 Phone: 309-662-6660 Fax: 309-664-6044 | |
Dr. Aleksandra Komogortseva, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1407 N Veterans Pkwy Ste 12, Bloomington, IL 61704 Phone: 309-233-3922 | |
Dr. Kirk William Noraian, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 105 N Williamsburg Dr, Bloomington, IL 61704 Phone: 309-663-4577 Fax: 306-663-2854 | |
Brock Gardner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 S Prospect Rd, Bloomington, IL 61704 Phone: 309-808-6263 | |
Dr. Jack Capodice Jr., MD, DMD Dentist Medicare: Accepting Medicare Assignments Practice Location: 109 N Regency Dr, Bloomington, IL 61701 Phone: 309-663-2526 Fax: 309-663-4788 | |
Johnny J Hernandez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 Heartland Dr, Suite A, Bloomington, IL 61704 Phone: 309-662-0523 Fax: 309-662-7693 | |
Dr. Uzma S. Hatia, DDS Dentist Medicare: Medicare Enrolled Practice Location: 507 N Hershey Rd Ste D, Bloomington, IL 61704 Phone: 309-661-0197 Fax: 309-663-0967 |