James Peterson
Dental Public Health Dentist - General Practice
331 S Main St
Virginia
, Illinois 62691-1571
James Peterson
Dental Public Health Dentist - General Practice
331 S Main St
Virginia
, Illinois 62691-1571
(217) 452-3057
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- James Peterson
- 331 S Main St
- Virginia, IL
- Zip : 62691-1571
- Phone : (217) 452-3057
Second Address
- James Peterson
- 331 S Main St
- Virginia, IL
- Zip : 62691-1571
- Phone : (217) 452-3057
Reviews
FAQs
Where did James Peterson attend graduate school?
Where did James Peterson do his residency?
Where did James Peterson do his fellowship?
Is James Peterson board certified?
What type of doctor is James Peterson
In what state does James Peterson practice in?
Where is James Peterson ’s practice located?
What is James Peterson ’s gender?
Is James Peterson a sole practitioner?
Is James Peterson accepting new patients?
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Does James Peterson accept insurance?
Does James Peterson offers telemedicine?
What is James Peterson ’s professional license number?
What is James Peterson ’s NPI number?
Does James Peterson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | 019029045 | IL |
| Y | 1223G0001X | General Practice | 019029045 | IL |
| Y | 213EG0000X | General Practice | 019029045 | IL |
National Provider Identifier
| NPI | 1376806224 |
|---|---|
| Provider Name | James Peterson |
| First Address | Virginia, IL 62691-1571 |
| Second Address | Virginia, IL 62691-1571 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2012 |
| Last Update Date | 01/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 019029045 | ILLINOIS LICENSE NUMBER (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.