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Nathaniel Peterson, DMD
NPI 1871489047 · Dentist · Edwardsville, IL
Nathaniel Peterson, DMD is a Dentist provider in Edwardsville, IL (NPI 1871489047).
Provider details
- NPI number
- 1871489047
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019036159 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 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
1403b Troy Rd Ste B
Edwardsville, IL 62025-2532
Phone: (618) 656-2277
Fax: (618) 656-7732
Street-level locationGet directions
Mailing address
837 Madison Ave
Edwardsville, IL 62025-2323
Registry dates
- Enumerated
- 2025-06-16
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Frequently asked questions
- What is Nathaniel Peterson's NPI number?
- Nathaniel Peterson's National Provider Identifier (NPI) is 1871489047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nathaniel Peterson's specialty?
- Nathaniel Peterson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Nathaniel Peterson located?
- Nathaniel Peterson's practice location on file with NPPES is 1403b Troy Rd Ste B, Edwardsville, IL 62025-2532.
- What is Nathaniel Peterson's phone number?
- The practice phone number listed in the NPPES registry for Nathaniel Peterson is (618) 656-2277.
- Is Nathaniel Peterson's NPI active?
- Yes — Nathaniel Peterson's NPI (1871489047) is active in the NPPES registry as of the last update on 2025-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.