OrganizationActive
Collin B Peterson DMD Dentistry PLLC
NPI 1447059019 · General Practice Dentistry · Diberville, MS
Collin B Peterson DMD Dentistry PLLC is a General Practice Dentistry organization in Diberville, MS (NPI 1447059019).
Provider details
- NPI number
- 1447059019
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Collin Peterson, Dentist/Owner(228) 216-7853
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10409 Boney Ave
Diberville, MS 39540-4813
Phone: (228) 216-7853
Street-level locationGet directions
Mailing address
10409 Boney Ave
Diberville, MS 39540-4813
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Frequently asked questions
- What is Collin B Peterson DMD Dentistry PLLC's NPI number?
- Collin B Peterson DMD Dentistry PLLC's National Provider Identifier (NPI) is 1447059019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collin B Peterson DMD Dentistry PLLC?
- Collin B Peterson DMD Dentistry PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Collin B Peterson DMD Dentistry PLLC located?
- Collin B Peterson DMD Dentistry PLLC's practice location on file with NPPES is 10409 Boney Ave, Diberville, MS 39540-4813.
- What is Collin B Peterson DMD Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Collin B Peterson DMD Dentistry PLLC is (228) 216-7853.
- Who is the authorized official for Collin B Peterson DMD Dentistry PLLC?
- The authorized official listed on Collin B Peterson DMD Dentistry PLLC's NPPES record is Collin Peterson, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collin B Peterson DMD Dentistry PLLC's NPI active?
- Yes — Collin B Peterson DMD Dentistry PLLC's NPI (1447059019) is active in the NPPES registry as of the last update on 2026-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.