Search › Illinois › 122300000X
Nathaniel Peterson, DMD
NPI 1871489047 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1403b Troy Rd Ste B
Edwardsville, IL 62025 - Phone
- (618) 656-2277
- Fax
- (618) 656-7732
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois