Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Peterson, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1215410584

David Peterson, DDS is an Oral and Maxillofacial Surgery (Dentist) in Dixon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1619 Brandywine Ln
Dixon, IL 61021-8757
Phone: (815) 622-4740
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 021001236 (IL)

Record details

NPI number1215410584
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 12, 2018
Last updated in NPPESSeptember 12, 2018