Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTT MATHEW PETERSON, DDS, MS
ActiveDR. SCOTT MATHEW PETERSON, DDS, MS is a Orthodontics healthcare provider located in BLOOMINGTON, Illinois. NPI 1134396336 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1134396336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2008 (18.214540669016 yrs)
- Last Updated
- May 15, 2008
- License
-
021-002109 (IL)
Practice Information
- Address
-
111 N REGENCY DRBLOOMINGTON, IL, 617013515Browse IL providers · Browse ZIP 61701
- Phone
- 3096625331
- Fax
- 3096631112
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM K. VANDERWAAL | D.D.S. | 1720004070 |
| DR. KURT T. BOWERS | D.D.S. | 1639222458 |
| ROBERT LAUDER | DDS, MS | 1720255839 |
| DR. FRANCIS PATRICK GREEN | DDS,MS | 1285891192 |
| DR. KATE ELIZABETH FINLEN | D.D.S., M.S. | 1740664242 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.