IndividualActive
Cory Peterson, DDS
NPI 1699049627 · Pediatric Dentistry · Sioux Falls, SD
Provider details
- NPI number
- 1699049627
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 7015 (NE)
Specialties & taxonomies
Dental Providers
Dental Providers
Student, Health Care
Practice location
3813 S Kiwanis Cir
Sioux Falls, SD 57105-4266
Phone: (605) 332-1095
Approximate (ZIP-level) locationGet directions
Mailing address
3813 S Kiwanis Cir
Sioux Falls, SD 57105-4266
Registry dates
- Enumerated
- 2012-03-08
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.